Patish, Grigoriy N

Patish, Grigoriy N is an sole proprietor health care provider with primary practice located at 407 Potter St Ste A , Fallbrook CA 92028-3086. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Patish, Grigoriy N can be contacted via phone (760) 728-4800.

Contact Information

Primary practice address
407 Potter St Ste A Fallbrook CA 92028-3086
Phone: (760) 728-4800
Fax: (760) 728-0061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005980 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00298800 New Jersey
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E4987 California

Profile Details

NPI number 1609817535
LBN Legal business name Patish, Grigoriy N
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Mar 31st, 2021 - about 3 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 1609817535 NPPES
New York MEDICAID 02639412

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