Goralka, Michael R
Goralka, Michael R is an individual health care provider with primary practice located at 2874 N Carson St Suite 200, Carson City NV 89706-0177. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goralka, Michael R can be contacted via phone (775) 883-9003.Contact Information
Primary practice address
2874 N Carson St Suite 200
Carson City NV 89706-0177
Phone: (775) 883-9003
Fax: (775) 883-0959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 8584 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13288C | Wyoming |
Profile Details
| NPI number | 1912053349 |
|---|---|
| LBN Legal business name | Goralka, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Mar 4th, 2021 - about 4 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 | 1912053349 | NPPES |
| Nevada | Other | 110238211 | RAILROAD MEDICARE # |
| Nevada | MEDICAID | 002013070 | RAILROAD MEDICARE # |
| Nevada | MEDICAID | 003113070 | RAILROAD MEDICARE # |
| Nevada | Other | CC2258 | RAILROAD MEDICARE # |
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