Gregory, Douglas
Gregory, Douglas is an individual health care provider with primary practice located at 736 W Riverdale Road , Riverdale UT 84405-3715. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gregory, Douglas can be contacted via phone (385) 288-0934.Contact Information
Primary practice address
736 W Riverdale Road
Riverdale UT 84405-3715
Phone: (385) 288-0934
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 10638431-1202 | Utah |
Profile Details
| NPI number | 1174030688 |
|---|---|
| LBN Legal business name | Gregory, Douglas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2018 |
| Last updated | Jun 11th, 2019 - about 7 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 | 1174030688 | NPPES |
| Utah | Other | 82-1177345 | FEIN |
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