Gise, Robert L

Gise, Robert L is an sole proprietor health care provider with primary practice located at 210 Lincoln Street , Worcester MA 01605-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gise, Robert L can be contacted via phone (508) 755-4922.

Contact Information

Primary practice address
210 Lincoln Street Worcester MA 01605-2529
Fax: (508) 756-9918
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 39600 Massachusetts

Profile Details

NPI number 1528024452
LBN Legal business name Gise, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Oct 29th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528024452 NPPES
Massachusetts MEDICAID 2067269
Massachusetts Other 0800341
Massachusetts Other 15527
Massachusetts Other 988733
Massachusetts Other 039600
Massachusetts Other 0880401
Massachusetts Other 4255
Massachusetts Other N01801
Massachusetts Other 4207
Massachusetts Other 0004670
Massachusetts Other 4274763

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