Deatherage, Gregory Eric

Deatherage, Gregory Eric is an sole proprietor health care provider with primary practice located at 2916 Garnett Ave , Wichita Falls TX 76308-1002. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Deatherage, Gregory Eric can be contacted via phone (940) 723-7241.

Contact Information

Primary practice address
2916 Garnett Ave Wichita Falls TX 76308-1002
Phone: (940) 723-7241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1457544181
LBN Legal business name Deatherage, Gregory Eric
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2007
Last updated Jul 17th, 2008 - about 16 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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