Gregoire, Richard J

Gregoire, Richard J is an individual health care provider with primary practice located at 2240 Adams Ave , Ogden UT 84401-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gregoire, Richard J can be contacted via phone (801) 393-5355.

Contact Information

Primary practice address
2240 Adams Ave Ogden UT 84401-1511
Phone: (801) 393-5355
Fax: (801) 394-4609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 186812-1205 Utah

Profile Details

NPI number 1528066149
LBN Legal business name Gregoire, Richard J
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 8th, 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 1528066149 NPPES
Utah Other 190958 INTERMOUNTAIN HEALTH CARE
Utah Other QM0000028199 INTERMOUNTAIN HEALTH CARE
Utah MEDICAID 00456 INTERMOUNTAIN HEALTH CARE
Utah Other 0100324 INTERMOUNTAIN HEALTH CARE
Utah Other PRA03566 INTERMOUNTAIN HEALTH CARE

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