Bricca, Gregory Michael
Bricca, Gregory Michael is an individual health care provider with primary practice located at 9269 Sierra College Blvd , Roseville CA 95661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Bricca, Gregory Michael can be contacted via phone (916) 772-1585.Contact Information
Primary practice address
9269 Sierra College Blvd
Roseville CA 95661
Phone: (916) 772-1585
Fax: (916) 772-5685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A70396 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A70396 | California |
Profile Details
| NPI number | 1184628000 |
|---|---|
| LBN Legal business name | Bricca, Gregory Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184628000 | NPPES |
| California | Other | 00A703962 | MEDICARE |
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