Gruber, Allen George
Gruber, Allen George is an sole proprietor health care provider with primary practice located at 4720 Hoen Ave , Santa Rosa CA 95405-7867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gruber, Allen George can be contacted via phone (707) 595-3122.Contact Information
Primary practice address
4720 Hoen Ave
Santa Rosa CA 95405-7867
Phone: (707) 595-3122
Fax: (707) 843-3102
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G55246 | California |
Profile Details
NPI number | 1689747602 |
---|---|
LBN Legal business name | Gruber, Allen George |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 16th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1689747602 | NPPES |
California | MEDICAID | 00G552461 | |
California | Other | G55246 |
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