Provider Demographics
NPI:1225244858
Name:GORMAN OPTIMAL HEALTH SOLUTIONS, INC
Entity Type:Organization
Organization Name:GORMAN OPTIMAL HEALTH SOLUTIONS, INC
Other - Org Name:GORMAN CHIROPRACTIC & HOLISTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-943-2584
Mailing Address - Street 1:43 ROSE APPLE RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-3401
Mailing Address - Country:US
Mailing Address - Phone:215-872-6080
Mailing Address - Fax:
Practice Address - Street 1:636 LINCOLN HIGHWAY
Practice Address - Street 2:10
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-3401
Practice Address - Country:US
Practice Address - Phone:215-872-6080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009086111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty