Gregg, David W

Gregg, David W is an individual health care provider with primary practice located at 1687 E Division St , River Falls WI 54022-1571. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gregg, David W can be contacted via phone (715) 425-6701.

Contact Information

Primary practice address
1687 E Division St River Falls WI 54022-1571
Phone: (715) 425-6701
Fax: (715) 425-7075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1032 Wisconsin

Profile Details

NPI number 1538152053
LBN Legal business name Gregg, David W
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Feb 9th, 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 1538152053 NPPES
Wisconsin MEDICAID 41928200

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