Condon, Gregg W

Condon, Gregg W is an individual health care provider with primary practice located at 84 Willimansett St , South Hadley MA 01075-3062. 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. Condon, Gregg W can be contacted via phone (413) 533-8501.

Contact Information

Primary practice address
84 Willimansett St South Hadley MA 01075-3062
Phone: (413) 533-8501
Fax: (413) 533-8502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10722 Massachusetts

Profile Details

NPI number 1053373787
LBN Legal business name Condon, Gregg W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053373787 NPPES
Massachusetts MEDICAID 0332500
Massachusetts Other Y67874

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