Gorsuch, Kathryn Ann

Gorsuch, Kathryn Ann is an individual health care provider with primary practice located at 40474 N Northville Trl , Northville MI 48168-3244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gorsuch, Kathryn Ann can be contacted via phone (248) 982-1754.

Contact Information

Primary practice address
40474 N Northville Trl Northville MI 48168-3244
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.016814 Illinois

Profile Details

NPI number 1831605468
LBN Legal business name Gorsuch, Kathryn Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2017
Last updated Jun 11th, 2020 - about 6 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 1831605468 NPPES
Illinois MEDICAID PENDING

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