Culver, Gregory Leroy

Culver, Gregory Leroy is an individual health care provider with primary practice located at 1915 E Rezanof Dr , Kodiak AK 99615-6602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Culver, Gregory Leroy can be contacted via phone (907) 486-3781.

Contact Information

Primary practice address
1915 E Rezanof Dr Kodiak AK 99615-6602
Fax: (907) 486-9586
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6858 Alaska

Profile Details

NPI number 1750307740
LBN Legal business name Culver, Gregory Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 30th, 2020 - about 5 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 1750307740 NPPES
Alaska MEDICAID 1576613
Alaska MEDICAID 792793200
Alaska Other 080069956
Alaska MEDICAID 15372

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