Burch, Gregary Gradon
Burch, Gregary Gradon is an individual health care provider with primary practice located at 4141 Poleline Rd Ste A , Pocatello ID 83202-4904. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Burch, Gregary Gradon can be contacted via phone (208) 242-8617.Contact Information
Primary practice address
4141 Poleline Rd Ste A
Pocatello ID 83202-4904
Phone: (208) 242-8617
Fax: (833) 608-2470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-8623 | Idaho |
Profile Details
| NPI number | 1629761226 |
|---|---|
| LBN Legal business name | Burch, Gregary Gradon |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2023 |
| Last updated | May 30th, 2023 - about 2 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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