Gregory, Harley
Gregory, Harley is an individual health care provider with primary practice located at 109 Prospect St , North Fairfield OH 44855-9550. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Gregory, Harley can be contacted via phone (419) 577-7896.Contact Information
Primary practice address
109 Prospect St
North Fairfield OH 44855-9550
Phone: (419) 577-7896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X |
Profile Details
| NPI number | 1154730356 |
|---|---|
| LBN Legal business name | Gregory, Harley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2014 |
| Last updated | Aug 13th, 2014 - about 10 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 | 1154730356 | NPPES |
| Ohio | MEDICAID | 3086600 |
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