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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982938700 | NPPES |
| Washington | MEDICAID | 1982938700 |
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