Waser, Gregory
Waser, Gregory is an individual health care provider with primary practice located at 1801 Sarno Rd #6, Melbourne FL 32935-3989. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Waser, Gregory can be contacted via phone (321) 259-6350.Contact Information
Primary practice address
1801 Sarno Rd #6
Melbourne FL 32935-3989
Phone: (321) 259-6350
Fax: (321) 259-1605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME50510 | Florida |
Profile Details
| NPI number | 1487648473 |
|---|---|
| LBN Legal business name | Waser, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Dec 3rd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487648473 | NPPES |
| Florida | Other | 04124 | BCBS |
| Florida | MEDICAID | 061729600 | BCBS |
| Florida | Other | 04124Z | BCBS |
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