Roscoe, Gregory James

Roscoe, Gregory James is an individual health care provider with primary practice located at 871 Beaver Dr , Du Bois PA 15801-2511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Roscoe, Gregory James can be contacted via phone (814) 375-0455.

Contact Information

Primary practice address
871 Beaver Dr Du Bois PA 15801-2511
Fax: (814) 375-2721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD038440L Pennsylvania

Profile Details

NPI number 1124109335
LBN Legal business name Roscoe, Gregory James
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 23rd, 2008 - about 18 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 1124109335 NPPES
Pennsylvania Other 040000667 RAILROAD MEDICARE, PIN
Pennsylvania MEDICAID 0008776540004 RAILROAD MEDICARE, PIN
Pennsylvania Other 161530 RAILROAD MEDICARE, PIN

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