Gerboth, Gregory Dale
Gerboth, Gregory Dale is an individual health care provider with primary practice located at 3300 Providence Dr Ste B208 , Anchorage AK 99508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gerboth, Gregory Dale can be contacted via phone (907) 212-4090.Contact Information
Primary practice address
3300 Providence Dr Ste B208
Anchorage AK 99508
Phone: (907) 212-4090
Fax: (907) 212-4091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 3128 | Alaska |
Profile Details
| NPI number | 1407838170 |
|---|---|
| LBN Legal business name | Gerboth, Gregory Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Sep 23rd, 2020 - about 5 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 | 1407838170 | NPPES |
| Alaska | MEDICAID | 1009229 |
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