Gregg, Amy M

Gregg, Amy M is an individual health care provider with primary practice located at 105 W 8Th , Spokane WA 99204-2304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gregg, Amy M can be contacted via phone (509) 474-6650.

Contact Information

Primary practice address
105 W 8Th Spokane WA 99204-2304
Fax: (509) 474-6646
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10005074 Washington

Profile Details

NPI number 1285611665
LBN Legal business name Gregg, Amy M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Apr 15th, 2010 - about 14 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 1285611665 NPPES
Washington MEDICAID 8469231

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