Borucki, Gregory S
Borucki, Gregory S is an individual health care provider with primary practice located at 124 Bluff Spring Dr , Madison AL 35758-7386. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Borucki, Gregory S can be contacted via phone (256) 325-4075.Contact Information
Primary practice address
124 Bluff Spring Dr
Madison AL 35758-7386
Phone: (256) 325-4075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO-719 | Alabama |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DO-719 | Alabama |
Profile Details
| NPI number | 1013995554 |
|---|---|
| LBN Legal business name | Borucki, Gregory S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Mar 7th, 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 | 1013995554 | NPPES |
| New Mexico | Other | A-1381-06 | LICENSE |
| New Mexico | Other | CS00211972 | LICENSE |
| New Mexico | Other | DO-719 | LICENSE |
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