Colle, Gregg
Colle, Gregg is an individual health care provider with primary practice located at 1719 Village Park Dr , Orangeburg SC 29118-2475. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Colle, Gregg can be contacted via phone (803) 535-0909.Contact Information
Primary practice address
1719 Village Park Dr
Orangeburg SC 29118-2475
Phone: (803) 535-0909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17590 | South Carolina |
Profile Details
| NPI number | 1720195993 |
|---|---|
| LBN Legal business name | Colle, Gregg |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jan 26th, 2012 - about 13 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 | 1720195993 | NPPES |
| South Carolina | MEDICAID | GP1266 |
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