Drizin, Gary Steven
Drizin, Gary Steven is an individual health care provider with primary practice located at 775 Pole Line Rd W Ste 315 , Twin Falls ID 83301-5823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Drizin, Gary Steven can be contacted via phone (208) 814-8750.Contact Information
Primary practice address
775 Pole Line Rd W Ste 315
Twin Falls ID 83301-5823
Phone: (208) 814-8750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | EMC0000767 | Michigan |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD021585E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MC-1590 | Idaho |
Profile Details
| NPI number | 1700848140 |
|---|---|
| LBN Legal business name | Drizin, Gary Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Oct 11th, 2022 - about 3 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 | 1700848140 | NPPES |
| Pennsylvania | MEDICAID | 0008511390003 |
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