Ford, Gregory Seth

Ford, Gregory Seth is an individual health care provider with primary practice located at 2560 Business Park Dr Ne , Cleveland TN 37311-6503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ford, Gregory Seth can be contacted via phone (423) 472-5401.

Contact Information

Primary practice address
2560 Business Park Dr Ne Cleveland TN 37311-6503
Fax: (423) 479-3060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 44754 Tennessee

Profile Details

NPI number 1447382874
LBN Legal business name Ford, Gregory Seth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Nov 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447382874 NPPES
Tennessee Other 3041753 MEDICARE PTAN
Tennessee MEDICAID 1513421 MEDICARE PTAN

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