Gregg, Gregory L

Gregg, Gregory L is an individual health care provider with primary practice located at 821 Douglas Ave 185, Altamonte Springs FL 32714-5210. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gregg, Gregory L can be contacted via phone (407) 703-5959.

Contact Information

Primary practice address
821 Douglas Ave 185 Altamonte Springs FL 32714-5210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida

Profile Details

NPI number 1942647003
LBN Legal business name Gregg, Gregory L
Credentials CASEMANAGER
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2013
Last updated May 30th, 2013 - about 11 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 1942647003 NPPES
Florida MEDICAID 003564600

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