Anderson, Gregory S
Anderson, Gregory S is an individual health care provider with primary practice located at 6322 S 3000 E Ste 100 , Salt Lake City UT 84121-6931. 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. Anderson, Gregory S can be contacted via phone (801) 352-5900.Contact Information
Primary practice address
6322 S 3000 E Ste 100
Salt Lake City UT 84121-6931
Phone: (801) 352-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1049360501 | Utah |
Profile Details
| NPI number | 1992797492 |
|---|---|
| LBN Legal business name | Anderson, Gregory S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Feb 14th, 2023 - about last year |
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 | 1992797492 | NPPES |
| Utah | MEDICAID | E0156 |
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