Grubb, Gregory A

Grubb, Gregory A is an individual health care provider with primary practice located at 3501 Health Center Blvd Ste 2180 , Estero FL 34135-8133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grubb, Gregory A can be contacted via phone (239) 343-0260.

Contact Information

Primary practice address
3501 Health Center Blvd Ste 2180 Estero FL 34135-8133
Phone: (239) 343-0260
Fax: (239) 343-4254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-079869 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS13529 Florida

Profile Details

NPI number 1417977125
LBN Legal business name Grubb, Gregory A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 25th, 2022 - about 2 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 1417977125 NPPES
Florida MEDICAID 115524000

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