Perez, Gerardo M.
Perez, Gerardo M. is an individual health care provider with primary practice located at 100 E Idaho St , Boise ID 83712-6223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Perez, Gerardo M. can be contacted via phone (208) 381-4171.Contact Information
Primary practice address
100 E Idaho St
Boise ID 83712-6223
Phone: (208) 381-4171
Fax: (208) 381-4172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | M9302 | Idaho |
Profile Details
| NPI number | 1730103995 |
|---|---|
| LBN Legal business name | Perez, Gerardo M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Oct 26th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730103995 | NPPES |
| Idaho | MEDICAID | 807235500 |
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