Gorecki, John P

Gorecki, John P is an sole proprietor health care provider with primary practice located at 1100 Northside Forsyth Dr Suite 310, Cumming GA 30041-6012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gorecki, John P can be contacted via phone (678) 730-7796.

Contact Information

Primary practice address
1100 Northside Forsyth Dr Suite 310 Cumming GA 30041-6012
Phone: (678) 730-7796
Fax: (678) 730-7786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0429019 Kansas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 62853 Georgia

Profile Details

NPI number 1003814716
LBN Legal business name Gorecki, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jan 25th, 2024 - about 11 months 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 1003814716 NPPES
Georgia MEDICAID 372501099B
Georgia MEDICAID 100387000A

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