Groggel, Gerald C

Groggel, Gerald C is an individual health care provider with primary practice located at 931 Highland Blvd- Suite 3260 , Bozeman MT 59715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Groggel, Gerald C can be contacted via phone (406) 522-2410.

Contact Information

Primary practice address
931 Highland Blvd- Suite 3260 Bozeman MT 59715
Fax: (406) 556-5198
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 19770 Nebraska
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 12522 Montana

Profile Details

NPI number 1932157716
LBN Legal business name Groggel, Gerald C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 29th, 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 1932157716 NPPES
Nebraska MEDICAID 47078557528

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