Gruber, Allen George

Gruber, Allen George is an sole proprietor health care provider with primary practice located at 4720 Hoen Ave , Santa Rosa CA 95405-7867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gruber, Allen George can be contacted via phone (707) 595-3122.

Contact Information

Primary practice address
4720 Hoen Ave Santa Rosa CA 95405-7867
Phone: (707) 595-3122
Fax: (707) 843-3102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G55246 California

Profile Details

NPI number 1689747602
LBN Legal business name Gruber, Allen George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689747602 NPPES
California MEDICAID 00G552461
California Other G55246

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