Grigera, Fernando
Grigera, Fernando is an individual health care provider with primary practice located at 777 Hospital Way Bldg A Ste. 101, Pocatello ID 83201-2753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Grigera, Fernando can be contacted via phone (208) 234-2001.Contact Information
Primary practice address
777 Hospital Way Bldg A Ste. 101
Pocatello ID 83201-2753
Phone: (208) 234-2001
Fax: (208) 232-2195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M9142 | Idaho |
Profile Details
| NPI number | 1770579658 |
|---|---|
| LBN Legal business name | Grigera, Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Nov 7th, 2011 - about 14 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 | 1770579658 | NPPES |
| Idaho | MEDICAID | 806974000 |
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