Gorski, Marie Jane

Gorski, Marie Jane is an individual health care provider with primary practice located at 3331 W Deyoung St Ste 305 , Marion IL 62959. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Gorski, Marie Jane can be contacted via phone (618) 998-7155.

Contact Information

Primary practice address
3331 W Deyoung St Ste 305 Marion IL 62959
Phone: (618) 998-7155
Fax: (618) 998-7285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036095265 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 33917 Tennessee

Profile Details

NPI number 1841374873
LBN Legal business name Gorski, Marie Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 8th, 2019 - about 5 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 1841374873 NPPES
Tennessee MEDICAID 3853897
Tennessee Other 020053440

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