Coronado, Greg
Coronado, Greg is an individual health care provider with primary practice located at 1110 North Greenville Avenue , Allen TX 75002. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Coronado, Greg can be contacted via phone (972) 396-0006.Contact Information
Primary practice address
1110 North Greenville Avenue
Allen TX 75002
Phone: (972) 396-0006
Fax: (972) 396-0004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4789TG | Texas |
Profile Details
| NPI number | 1750491593 |
|---|---|
| LBN Legal business name | Coronado, Greg |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750491593 | NPPES |
| Texas | Other | P00417953 | MEDICARE RAILROAD PTAN |
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