Gruber, Leah Marie

Gruber, Leah Marie is an individual health care provider with primary practice located at 1617 N Main St Ste 100 , Fuquay Varina NC 27526-9021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gruber, Leah Marie can be contacted via phone (919) 577-9952.

Contact Information

Primary practice address
1617 N Main St Ste 100 Fuquay Varina NC 27526-9021
Phone: (919) 577-9952
Fax: (919) 577-9946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1629329727
LBN Legal business name Gruber, Leah Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2012
Last updated May 10th, 2021 - about 4 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 1629329727 NPPES
North Carolina Other NC9614C MEDIARE

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