Gorzitze, Jeffrey M

Gorzitze, Jeffrey M is an individual health care provider with primary practice located at 1055 S Stapley Dr , Mesa AZ 85204-5013. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gorzitze, Jeffrey M can be contacted via phone (480) 833-9100.

Contact Information

Primary practice address
1055 S Stapley Dr Mesa AZ 85204-5013
Phone: (480) 833-9100
Fax: (480) 833-6000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA1034 Arizona

Profile Details

NPI number 1386649952
LBN Legal business name Gorzitze, Jeffrey M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Apr 20th, 2018 - about 6 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 1386649952 NPPES
Arizona MEDICAID 912828

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