Biddulph, Gregory Edwin

Biddulph, Gregory Edwin is an individual health care provider with primary practice located at 3300 Washington Pkwy , Idaho Falls ID 83404-7592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Biddulph, Gregory Edwin can be contacted via phone (208) 522-6662.

Contact Information

Primary practice address
3300 Washington Pkwy Idaho Falls ID 83404-7592
Phone: (208) 522-6662
Fax: (208) 522-0880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X M6968 Idaho

Profile Details

NPI number 1306874763
LBN Legal business name Biddulph, Gregory Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 10th, 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 1306874763 NPPES
Idaho Other 000010000552 BS
Idaho MEDICAID 286007 BS
Idaho MEDICAID 113909600 BS
Idaho Other 00001000552 BS
Idaho Other 20036025 BS
Idaho Other 613028 BS
Idaho MEDICAID 7608951 BS
Idaho MEDICAID 0027971 BS
Idaho Other 185543500 BS
Idaho Other 29868 BS
Idaho Other 8157532 BS

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