Grubich, Gayle Marie

Grubich, Gayle Marie is an individual health care provider with primary practice located at 529 Jasmine St , Omak WA 98841-9589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Grubich, Gayle Marie can be contacted via phone (509) 826-1600.

Contact Information

Primary practice address
529 Jasmine St Omak WA 98841-9589
Phone: (509) 826-1600
Fax: (509) 826-3617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP30007990 Washington

Profile Details

NPI number 1396729794
LBN Legal business name Grubich, Gayle Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Nov 27th, 2012 - about 12 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 1396729794 NPPES
Washington MEDICAID 9656745
Washington Other 0238881

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