Gore, Michelle
Gore, Michelle is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Administrator, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Pediatrics, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Medical-Surgical is her primary health care specialty. Gore, Michelle can be contacted via phone (912) 435-6202.Contact Information
Primary practice address
1061 Harmon Ave
Fort Stewart GA 31314-5641
Phone: (912) 435-6202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 729857 | Texas |
| Nursing Service Providers / Administrator | 163WA2000X | 729857 | Texas |
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 729857 | Texas |
| Nursing Service Providers / Pediatrics | 163WP0200X | 729857 | Texas |
| Nursing Service Providers / Ambulatory Care | 163WP2201X | 729857 | Texas |
Profile Details
| NPI number | 1972903441 |
|---|---|
| LBN Legal business name | Gore, Michelle |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2014 |
| Last updated | Sep 3rd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972903441 | NPPES |
| Texas | Other | 729857 | TEXAS BOARD OF NURSING |
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