Bancroft, Gregory

Bancroft, Gregory is an sole proprietor health care provider with primary practice located at 4014 Lancaster Ave A, Philadelphia PA 19104-1712. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bancroft, Gregory can be contacted via phone (215) 222-2225.

Contact Information

Primary practice address
4014 Lancaster Ave A Philadelphia PA 19104-1712
Phone: (215) 222-2225
Fax: (215) 222-3070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC-001795-L Pennsylvania

Profile Details

NPI number 1073543559
LBN Legal business name Bancroft, Gregory
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jul 17th, 2015 - about 9 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 1073543559 NPPES
Pennsylvania MEDICAID 0005005270002

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