Gerlock, Gregory A
Gerlock, Gregory A is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gerlock, Gregory A can be contacted via phone (423) 844-2100.Contact Information
Primary practice address
1 Medical Park Blvd
Bristol TN 37620-7430
Phone: (423) 844-2100
Fax: (423) 844-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20852 | Tennessee |
Profile Details
| NPI number | 1114987740 |
|---|---|
| LBN Legal business name | Gerlock, Gregory A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jul 7th, 2021 - 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 | 1114987740 | NPPES |
| Tennessee | MEDICAID | 3066145 |
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