Niderost, Gregory Allan

Niderost, Gregory Allan is an individual health care provider with primary practice located at 1 Madrone St , Willits CA 95490-4225. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Niderost, Gregory Allan can be contacted via phone (707) 456-3171.

Contact Information

Primary practice address
1 Madrone St Willits CA 95490-4225
Phone: (707) 456-3171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1602 California

Profile Details

NPI number 1255319679
LBN Legal business name Niderost, Gregory Allan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jul 8th, 2007 - about 18 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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