Black, Gregory
Black, Gregory is an individual health care provider with primary practice located at 10200 Trinity Pkwy Suite 205, Stockton CA 95219-7286. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Black, Gregory can be contacted via phone (209) 451-3920.Contact Information
Primary practice address
10200 Trinity Pkwy Suite 205
Stockton CA 95219-7286
Phone: (209) 451-3920
Fax: (209) 451-3902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT16285 | California |
Profile Details
| NPI number | 1225153091 |
|---|---|
| LBN Legal business name | Black, Gregory |
| Credentials | PT, OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Apr 24th, 2017 - about 7 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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