Ganzer, Gregory

Ganzer, Gregory is an sole proprietor health care provider with primary practice located at 2101 Chapline St , Wheeling WV 26003-3855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ganzer, Gregory can be contacted via phone (304) 233-3240.

Contact Information

Primary practice address
2101 Chapline St Wheeling WV 26003-3855
Fax: (304) 233-4176
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1159 West Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34005620 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS006564L Pennsylvania

Profile Details

NPI number 1326163890
LBN Legal business name Ganzer, Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 18 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 1326163890 NPPES
Ohio MEDICAID 0889865
Ohio MEDICAID 0042262000

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