Conner, Gregory Laurent

Conner, Gregory Laurent is an sole proprietor health care provider with primary practice located at 2191 Memorial Dr Aptartment G95, Clarksville TN 37043-4797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Conner, Gregory Laurent can be contacted via phone (931) 553-7855.

Contact Information

Primary practice address
2191 Memorial Dr Aptartment G95 Clarksville TN 37043-4797
Phone: (931) 553-7855
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02777 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2028 Tennessee

Profile Details

NPI number 1841239647
LBN Legal business name Conner, Gregory Laurent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Aug 28th, 2019 - about 6 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 1841239647 NPPES
Kentucky Other P00255239 RAILROAD MEDICARE
Kentucky MEDICAID 64062813 RAILROAD MEDICARE
Kentucky Other 000000290234 RAILROAD MEDICARE

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