Bach, Gregory Harris
Bach, Gregory Harris is an individual health care provider with primary practice located at 2010 59Th St W Ste 2200 , Bradenton FL 34209-4689. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bach, Gregory Harris can be contacted via phone (941) 794-5621.Contact Information
Primary practice address
2010 59Th St W Ste 2200
Bradenton FL 34209-4689
Phone: (941) 794-5621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ME150196 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME150196 | Florida |
Profile Details
| NPI number | 1417481367 |
|---|---|
| LBN Legal business name | Bach, Gregory Harris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2017 |
| Last updated | Nov 17th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417481367 | NPPES |
| Florida | Other | 6F3Y4 | BCBS |
| Florida | MEDICAID | 115062800 | BCBS |
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