Gregerson, Gary Ned
Gregerson, Gary Ned is an individual health care provider with primary practice located at 1611 12Th Ave Rd Suite A, Nampa ID 83686-7715. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gregerson, Gary Ned can be contacted via phone (208) 468-9400.Contact Information
Primary practice address
1611 12Th Ave Rd Suite A
Nampa ID 83686-7715
Phone: (208) 468-9400
Fax: (208) 468-9447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M6312 | Idaho |
Profile Details
| NPI number | 1801834866 |
|---|---|
| LBN Legal business name | Gregerson, Gary Ned |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1801834866 | NPPES |
| Idaho | MEDICAID | 002364200 |
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