Gruber, Thomas James

Gruber, Thomas James is an individual health care provider with primary practice located at 2603 Kentucky Ave Suite 404, Paducah KY 42003-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gruber, Thomas James can be contacted via phone (270) 443-6472.

Contact Information

Primary practice address
2603 Kentucky Ave Suite 404 Paducah KY 42003-3814
Phone: (270) 443-6472
Fax: (270) 442-1649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 45110 Kentucky

Profile Details

NPI number 1487924353
LBN Legal business name Gruber, Thomas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2012
Last updated Dec 3rd, 2020 - about 5 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 1487924353 NPPES
Kentucky MEDICAID 7100202710

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