Anderson, Gregory

Anderson, Gregory is an individual health care provider with primary practice located at 2905 5Th St , Rapid City SD 57701-7316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, Gregory can be contacted via phone (605) 341-7337.

Contact Information

Primary practice address
2905 5Th St Rapid City SD 57701-7316
Phone: (605) 341-7337
Fax: (605) 341-2447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7615 South Dakota

Profile Details

NPI number 1225016777
LBN Legal business name Anderson, Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 17th, 2015 - about 9 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 1225016777 NPPES
South Dakota MEDICAID 6703070

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