Tirdel, Gregory B.
Tirdel, Gregory B. is an sole proprietor health care provider with primary practice located at 10956 Donner Pass Rd Suite 260, Truckee CA 96161-4861. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tirdel, Gregory B. can be contacted via phone (530) 582-6400.Contact Information
Primary practice address
10956 Donner Pass Rd Suite 260
Truckee CA 96161-4861
Phone: (530) 582-6400
Fax: (530) 582-6991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G69661 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G69661 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G696610 | California |
Profile Details
| NPI number | 1821080144 |
|---|---|
| LBN Legal business name | Tirdel, Gregory B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Feb 17th, 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 | 1821080144 | NPPES |
| California | MEDICAID | 1827433 | |
| California | Other | ZZZ21753Z |
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