Gregg, Michael L

Gregg, Michael L is an individual health care provider with primary practice located at 4055 Valley View Ln , Dallas TX 75244-5074. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gregg, Michael L can be contacted via phone (972) 715-3800.

Contact Information

Primary practice address
4055 Valley View Ln Dallas TX 75244-5074
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35061759 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35061759 Ohio

Profile Details

NPI number 1730188640
LBN Legal business name Gregg, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Dec 17th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730188640 NPPES
Ohio MEDICAID 0878233

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