Etienne, Gregory

Etienne, Gregory is an sole proprietor health care provider with primary practice located at 126 S Coronado Dr Ste B , Sierra Vista AZ 85635-6300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Etienne, Gregory can be contacted via phone (786) 618-8554.

Contact Information

Primary practice address
126 S Coronado Dr Ste B Sierra Vista AZ 85635-6300
Phone: (786) 618-8554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1447 Puerto Rico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10192 Arizona

Profile Details

NPI number 1669180915
LBN Legal business name Etienne, Gregory
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2022
Last updated Jun 4th, 2024 - about last year

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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