Gregg, Michael D

Gregg, Michael D is an individual health care provider with primary practice located at 1129 S 2Nd Ave , Walla Walla WA 99362-4100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gregg, Michael D can be contacted via phone (509) 527-8928.

Contact Information

Primary practice address
1129 S 2Nd Ave Walla Walla WA 99362-4100
Phone: (509) 527-8928
Fax: (509) 527-8929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00005437 Washington

Profile Details

NPI number 1205800901
LBN Legal business name Gregg, Michael D
Credentials M.S.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 27th, 2007 - about 17 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 1205800901 NPPES
Washington Other 133822 L&I
Washington MEDICAID 8373151 L&I
Washington MEDICAID 040118 L&I

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