Densmore, Gregg S
Densmore, Gregg S is an sole proprietor health care provider with primary practice located at 700 Sunset Dr Ste F, La Grande OR 97850-1260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Densmore, Gregg S can be contacted via phone (541) 963-8578.Contact Information
Primary practice address
700 Sunset Dr Ste F
La Grande OR 97850-1260
Phone: (541) 963-8578
Fax: (541) 963-8932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD18510 | Oregon |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1184624975 |
|---|---|
| LBN Legal business name | Densmore, Gregg S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jan 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184624975 | NPPES |
| Oregon | MEDICAID | 057724 | |
| Oregon | Other | 057724 |
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