Brockbank, Greg R
Brockbank, Greg R is an individual health care provider with primary practice located at 123 W Francis , Spokane WA 99205. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brockbank, Greg R can be contacted via phone (509) 483-9363.Contact Information
Primary practice address
123 W Francis
Spokane WA 99205
Phone: (509) 483-9363
Fax: (509) 483-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO0000780 | Washington |
Profile Details
| NPI number | 1710062849 |
|---|---|
| LBN Legal business name | Brockbank, Greg R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Apr 30th, 2008 - about 16 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 | 1710062849 | NPPES |
| Washington | Other | P00326450 | RAILRAOD MEDICARE |
| Washington | MEDICAID | 8430522 | RAILRAOD MEDICARE |
| Washington | Other | 200644 | RAILRAOD MEDICARE |
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