Amelung, Greg Jack

Amelung, Greg Jack is an individual health care provider with primary practice located at 1940 E Highway 114 Ste 150 , Southlake TX 76092-6526. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Amelung, Greg Jack can be contacted via phone (817) 503-0009.

Contact Information

Primary practice address
1940 E Highway 114 Ste 150 Southlake TX 76092-6526
Phone: (817) 503-0009
Fax: (817) 503-8909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1859 Texas

Profile Details

NPI number 1427057348
LBN Legal business name Amelung, Greg Jack
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Dec 12th, 2016 - about 8 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 1427057348 NPPES
Texas Other 0013MS BCBS GROUP
Texas Other 1376738971 BCBS GROUP
Texas Other 1427057348 BCBS GROUP

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