Obray, Gregory Robert

Obray, Gregory Robert is an sole proprietor health care provider with primary practice located at 320 Warner Dr Lewiston Orthopaedics, Lewiston ID 83501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Obray, Gregory Robert can be contacted via phone (208) 743-3523.

Contact Information

Primary practice address
320 Warner Dr Lewiston Orthopaedics Lewiston ID 83501
Phone: (208) 743-3523
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 00034506 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X M7482 Idaho

Profile Details

NPI number 1083770192
LBN Legal business name Obray, Gregory Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2006
Last updated Nov 12th, 2020 - about 6 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 1083770192 NPPES
Washington MEDICAID 8204851
Washington MEDICAID 805208800

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