Applegate, Gregory R
Applegate, Gregory R is an individual health care provider with primary practice located at 6855 Noble Ave , Van Nuys CA 91405-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Applegate, Gregory R can be contacted via phone (818) 901-0115.Contact Information
Primary practice address
6855 Noble Ave
Van Nuys CA 91405-3729
Phone: (818) 901-0115
Fax: (818) 901-9529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G57333 | California |
Profile Details
| NPI number | 1386751741 |
|---|---|
| LBN Legal business name | Applegate, Gregory R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Feb 7th, 2014 - about 10 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 | 1386751741 | NPPES |
| California | MEDICAID | 00G573330 | |
| California | Other | TD076 |
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