Enders, Gregory H
Enders, Gregory H is an individual health care provider with primary practice located at 743 Jefferson Ave Suite 104, Scranton PA 18510-1639. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Enders, Gregory H can be contacted via phone (570) 558-0182.Contact Information
Primary practice address
743 Jefferson Ave Suite 104
Scranton PA 18510-1639
Phone: (570) 558-0182
Fax: (570) 558-0183
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD 058911 | Pennsylvania |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD058911L | Pennsylvania |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD058911L | Pennsylvania |
Profile Details
NPI number | 1639251820 |
---|---|
LBN Legal business name | Enders, Gregory H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2006 |
Last updated | Aug 4th, 2021 - about 4 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 | 1639251820 | NPPES |
Pennsylvania | MEDICAID | 0016109440002 |
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