Condon, Gregory Josef
Condon, Gregory Josef is an individual health care provider with primary practice located at 1211 Union Ave Suite 400, Memphis TN 38104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Condon, Gregory Josef can be contacted via phone (901) 725-8920.Contact Information
Primary practice address
1211 Union Ave Suite 400
Memphis TN 38104
Phone: (901) 725-8920
Fax: (901) 725-8934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0000018003 | Tennessee |
Profile Details
| NPI number | 1477512291 |
|---|---|
| LBN Legal business name | Condon, Gregory Josef |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Feb 12th, 2013 - about 11 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 | 1477512291 | NPPES |
| Tennessee | MEDICAID | 3026721 | |
| Tennessee | MEDICAID | 158519001 |
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