Goreth, Michelle Borzik

Goreth, Michelle Borzik is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Goreth, Michelle Borzik can be contacted via phone (601) 984-5050.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X R860018 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 794000 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R860018 Mississippi

Profile Details

NPI number 1588984744
LBN Legal business name Goreth, Michelle Borzik
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2010
Last updated Dec 10th, 2015 - about 9 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 1588984744 NPPES
Alabama MEDICAID 179192
Alabama MEDICAID 02855367

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