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
Fax: (208) 750-3839
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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