Georgis, Gregory William

Georgis, Gregory William is an individual health care provider with primary practice located at 2595 N Mulford Rd , Rockford IL 61114-5643. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Georgis, Gregory William can be contacted via phone (815) 904-6000.

Contact Information

Primary practice address
2595 N Mulford Rd Rockford IL 61114-5643
Phone: (815) 904-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1922467034
LBN Legal business name Georgis, Gregory William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2016
Last updated Feb 26th, 2016 - about 9 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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