Etter, Gregg M
Etter, Gregg M is an sole proprietor health care provider with primary practice located at 2756 Post Rd , Warwick RI 02886-3003. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Etter, Gregg M can be contacted via phone (401) 691-6000.Contact Information
Primary practice address
2756 Post Rd
Warwick RI 02886-3003
Phone: (401) 691-6000
Fax: (401) 738-7718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | MD08688 | Rhode Island |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD08688 | Rhode Island |
Profile Details
| NPI number | 1962409649 |
|---|---|
| LBN Legal business name | Etter, Gregg M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jan 14th, 2010 - about 15 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 | 1962409649 | NPPES |
| Rhode Island | MEDICAID | 7004198 |
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