Gregg, Ralph

Gregg, Ralph is an individual health care provider with primary practice located at 4048 Evans Ave Suite 303, Ft Myers FL 33901-9322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gregg, Ralph can be contacted via phone (239) 332-5344.

Contact Information

Primary practice address
4048 Evans Ave Suite 303 Ft Myers FL 33901-9322
Phone: (239) 332-5344
Fax: (239) 332-7246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME0058967 Florida

Profile Details

NPI number 1790775286
LBN Legal business name Gregg, Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jan 9th, 2019 - about 6 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 1790775286 NPPES
Florida Other 050028812 MCRR
Florida Other 0867335 MCRR
Florida Other 11737 MCRR
Florida Other 790501 MCRR
Florida MEDICAID 052607000 MCRR
Florida Other 11737Z MCRR

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