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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1770579658 NPPES
Idaho MEDICAID 806974000

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