Fashaw, Gregory M

Fashaw, Gregory M is an individual health care provider with primary practice located at 1831 17Th Ct N , Lake Worth FL 33460-6437. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Fashaw, Gregory M can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
1831 17Th Ct N Lake Worth FL 33460-6437
Phone: (855) 832-6727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X Florida

Profile Details

NPI number 1144742651
LBN Legal business name Fashaw, Gregory M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated Mar 17th, 2018 - about 6 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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