Gregory, Jack
Gregory, Jack is an individual health care provider with primary practice located at 590 W Putnam Ave Suite 2A, Porterville CA 93257-3257. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Gregory, Jack can be contacted via phone (559) 781-3700.Contact Information
Primary practice address
590 W Putnam Ave Suite 2A
Porterville CA 93257-3257
Phone: (559) 781-3700
Fax: (559) 781-4131
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G7754 | California |
Profile Details
NPI number | 1528169208 |
---|---|
LBN Legal business name | Gregory, Jack |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1528169208 | NPPES |
California | MEDICAID | 00G7754 |
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