Rurik, Gregory
Rurik, Gregory is an individual health care provider with primary practice located at 4700 Point Fosdick Dr Nw #211, Gig Harbor WA 98335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rurik, Gregory can be contacted via phone (253) 851-5665.Contact Information
Primary practice address
4700 Point Fosdick Dr Nw #211
Gig Harbor WA 98335
Phone: (253) 851-5665
Fax: (253) 627-0855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00025196 | Washington |
Profile Details
| NPI number | 1528154606 |
|---|---|
| LBN Legal business name | Rurik, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 21st, 2012 - about 13 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 | 1528154606 | NPPES |
| Washington | MEDICAID | 1045087 |
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