Bongers, Gregory Thomas
Bongers, Gregory Thomas is an individual health care provider with primary practice located at 1101 N Rock Rd , Derby KS 67037-3705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bongers, Gregory Thomas can be contacted via phone (316) 788-6963.Contact Information
Primary practice address
1101 N Rock Rd
Derby KS 67037-3705
Phone: (316) 788-6963
Fax: (316) 788-5373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-26353 | Kansas |
Profile Details
| NPI number | 1629033519 |
|---|---|
| LBN Legal business name | Bongers, Gregory Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 14th, 2008 - about 17 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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