Gregory, Dennis C

Gregory, Dennis C is an individual health care provider with primary practice located at 1111 Leffingwell Ave Ne , Grand Rapids MI 49525-6406. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gregory, Dennis C can be contacted via phone (616) 459-7101.

Contact Information

Primary practice address
1111 Leffingwell Ave Ne Grand Rapids MI 49525-6406
Phone: (616) 459-7101
Fax: (616) 464-6170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601003804 Michigan

Profile Details

NPI number 1093702169
LBN Legal business name Gregory, Dennis C
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jun 28th, 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 1093702169 NPPES
Other P00128331 RR MEDICARE
Other 0P18140 RR MEDICARE
Other P18140006 RR MEDICARE

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