Emanuelson, Greg R

Emanuelson, Greg R is an individual health care provider with primary practice located at 130 1St St Nw , Massillon OH 44647-5452. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Emanuelson, Greg R can be contacted via phone (330) 833-0234.

Contact Information

Primary practice address
130 1St St Nw Massillon OH 44647-5452
Phone: (330) 833-0234
Fax: (330) 837-7705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0002768-SUPV Ohio

Profile Details

NPI number 1619178860
LBN Legal business name Emanuelson, Greg R
Credentials PHD, LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Sep 16th, 2019 - 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 1619178860 NPPES
Ohio MEDICAID 0183807

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