Greggain, Donald J
Greggain, Donald J is an individual health care provider with primary practice located at 222 Southway Ave Ste 2A , Lewiston ID 83501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Greggain, Donald J can be contacted via phone (208) 750-3840.Contact Information
Primary practice address
222 Southway Ave Ste 2A
Lewiston ID 83501
Phone: (208) 750-3840
Fax: (208) 750-3839
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32331 | Washington |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-6680 | Idaho |
Profile Details
NPI number | 1154328052 |
---|---|
LBN Legal business name | Greggain, Donald J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Dec 11th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154328052 | NPPES |
Washington | Other | 104012 | DL&I PROV NUMBER |
Washington | Other | 71993 8J935 | DL&I PROV NUMBER |
Washington | Other | 000010001249 | DL&I PROV NUMBER |
Washington | MEDICAID | 003310000 | DL&I PROV NUMBER |
Washington | Other | 193254001 | DL&I PROV NUMBER |
Washington | Other | 1095264 | DL&I PROV NUMBER |
Washington | Other | 1139282 | DL&I PROV NUMBER |
Washington | Other | 080075556 | DL&I PROV NUMBER |
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