Gromko, William Anthony

Gromko, William Anthony is an individual health care provider with primary practice located at 17055 Ruben Ln , Sandy OR 97055-9276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gromko, William Anthony can be contacted via phone (503) 668-8002.

Contact Information

Primary practice address
17055 Ruben Ln Sandy OR 97055-9276
Phone: (503) 668-8002
Fax: (503) 668-5246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14461 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 66750 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD204079 Oregon

Profile Details

NPI number 1477565026
LBN Legal business name Gromko, William Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated May 11th, 2021 - about 5 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 1477565026 NPPES
Washington Other 147208 WORKERS COMPENSATION
Washington Other 7280GR WORKERS COMPENSATION
Washington MEDICAID 1112713 WORKERS COMPENSATION
Washington Other 080168652 WORKERS COMPENSATION
Washington Other 610278200 WORKERS COMPENSATION
Washington Other 912107280985030000 WORKERS COMPENSATION

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