Gorkiewicz, Shawn Marie

Gorkiewicz, Shawn Marie is an individual health care provider with primary practice located at 2486 Nerredia St Ste E , Flint MI 48532-4807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gorkiewicz, Shawn Marie can be contacted via phone (810) 230-9901.

Contact Information

Primary practice address
2486 Nerredia St Ste E Flint MI 48532-4807
Phone: (810) 230-9901
Fax: (810) 230-9916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704206639 Michigan

Profile Details

NPI number 1265801625
LBN Legal business name Gorkiewicz, Shawn Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2015
Last updated Sep 26th, 2023 - about 3 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 1265801625 NPPES
Michigan MEDICAID 1265801625

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