Gerrish, Winslow Gregory
Gerrish, Winslow Gregory is an individual health care provider with primary practice located at 777 N Raymond St , Boise ID 83704-9251. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gerrish, Winslow Gregory can be contacted via phone (208) 514-2500.Contact Information
Primary practice address
777 N Raymond St
Boise ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202684 | Idaho |
Profile Details
| NPI number | 1013297621 |
|---|---|
| LBN Legal business name | Gerrish, Winslow Gregory |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2011 |
| Last updated | Aug 12th, 2013 - about 12 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 | 1013297621 | NPPES |
| Idaho | MEDICAID | 1013297621 |
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