Gorski, Jerome L

Gorski, Jerome L is an individual health care provider with primary practice located at 402 N Keene St Ste 101, Columbia MO 65201-6986. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gorski, Jerome L can be contacted via phone (573) 882-6921.

Contact Information

Primary practice address
402 N Keene St Ste 101 Columbia MO 65201-6986
Phone: (573) 882-6921
Fax: (573) 882-1154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2206028760 Missouri
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 4301049958 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301049958 Michigan

Profile Details

NPI number 1164432720
LBN Legal business name Gorski, Jerome L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 16th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164432720 NPPES
Missouri MEDICAID 206268807
Missouri MEDICAID 1736383

Popular Providers