Gorski, Gregory F

Gorski, Gregory F is an individual health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627-9601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gorski, Gregory F can be contacted via phone (319) 376-2134.

Contact Information

Primary practice address
5409 Avenue O Fort Madison IA 52627-9601
Fax: (319) 376-2188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036070494 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD44674 Iowa

Profile Details

NPI number 1073707345
LBN Legal business name Gorski, Gregory F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Mar 17th, 2018 - about 8 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 1073707345 NPPES
Illinois Other 01608602 BCBS
Illinois MEDICAID 036070494 BCBS

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