Gregory, David D

Gregory, David D is an individual health care provider with primary practice located at 2825 Hunters Trl , Portage WI 53901-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gregory, David D can be contacted via phone (608) 724-7161.

Contact Information

Primary practice address
2825 Hunters Trl Portage WI 53901-3429
Phone: (608) 724-7161
Fax: (608) 745-3060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23436-020 Wisconsin

Profile Details

NPI number 1346298205
LBN Legal business name Gregory, David D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 22nd, 2016 - 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 1346298205 NPPES
Wisconsin MEDICAID 1346298205

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