Gourley, Jeffrey Ryan
Gourley, Jeffrey Ryan is an sole proprietor health care provider with primary practice located at 110 Kingley Lane Suite 305, Norfolk VA 23505-4617. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gourley, Jeffrey Ryan can be contacted via phone (757) 889-5942.Contact Information
Primary practice address
110 Kingley Lane Suite 305
Norfolk VA 23505-4617
Phone: (757) 889-5942
Fax: (757) 889-5450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101245462 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101245462 | Virginia |
Profile Details
| NPI number | 1194969204 |
|---|---|
| LBN Legal business name | Gourley, Jeffrey Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2009 |
| Last updated | Jun 18th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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