Moorman, Gary L

Moorman, Gary L is an individual health care provider with primary practice located at 2213 Cherry St , Toledo OH 43608-2603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moorman, Gary L can be contacted via phone (419) 251-4204.

Contact Information

Primary practice address
2213 Cherry St Toledo OH 43608-2603
Phone: (419) 251-4204
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34003175 Ohio

Profile Details

NPI number 1528061231
LBN Legal business name Moorman, Gary L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 15th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528061231 NPPES
Michigan MEDICAID 114808628
Michigan Other P00280770
Michigan Other 000000377156
Michigan Other 000000360664
Michigan MEDICAID 114734293
Michigan MEDICAID 0510343

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