Bross, Gregory Elliott

Bross, Gregory Elliott is an individual health care provider with primary practice located at 190 E Bannock St Pediatric Hospitalists, Boise ID 83712-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bross, Gregory Elliott can be contacted via phone (208) 381-2645.

Contact Information

Primary practice address
190 E Bannock St Pediatric Hospitalists Boise ID 83712-6241
Phone: (208) 381-2645
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 60174015 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-12467 Idaho

Profile Details

NPI number 1982938700
LBN Legal business name Bross, Gregory Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2009
Last updated Mar 28th, 2016 - about 10 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 1982938700 NPPES
Washington MEDICAID 1982938700

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