Gober, Gregg A

Gober, Gregg A is an individual health care provider with primary practice located at 1693 S Colorado St , Greenville MS 38703-7211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gober, Gregg A can be contacted via phone (662) 332-8700.

Contact Information

Primary practice address
1693 S Colorado St Greenville MS 38703-7211
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 13979 Mississippi

Profile Details

NPI number 1477565166
LBN Legal business name Gober, Gregg A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Sep 26th, 2007 - about 18 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 1477565166 NPPES
Other P00316067 RR MEDICARE
MEDICAID 00114112 RR MEDICARE
Other 5J806 RR MEDICARE

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