Gorse, Geoffrey J.

Gorse, Geoffrey J. is an individual health care provider with primary practice located at 1225 S Grand Blvd , Saint Louis MO 63104-1016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gorse, Geoffrey J. can be contacted via phone (314) 577-8000.

Contact Information

Primary practice address
1225 S Grand Blvd Saint Louis MO 63104-1016
Fax: (314) 977-9196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G37510 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X R4J28 Missouri

Profile Details

NPI number 1285647115
LBN Legal business name Gorse, Geoffrey J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jan 28th, 2021 - about 3 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 1285647115 NPPES
Missouri MEDICAID 202773909

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