Gorst, Craig M

Gorst, Craig M is an individual health care provider with primary practice located at 717 E Alfred St , Weyauwega WI 54983-9024. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Gorst, Craig M can be contacted via phone (920) 867-3121.

Contact Information

Primary practice address
717 E Alfred St Weyauwega WI 54983-9024
Phone: (920) 867-3121
Fax: (920) 867-3997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5191-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 5191-024 Wisconsin

Profile Details

NPI number 1396967501
LBN Legal business name Gorst, Craig M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Nov 9th, 2007 - about 17 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 1396967501 NPPES
Wisconsin MEDICAID 40260200

Popular Providers