Gregory, Juan

Gregory, Juan is an individual health care provider with primary practice located at 75 Pringle Way Ste 505 , Reno NV 89502-1469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Gregory, Juan can be contacted via phone (775) 982-5437.

Contact Information

Primary practice address
75 Pringle Way Ste 505 Reno NV 89502-1469
Fax: (775) 982-3895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 10802 Nevada

Profile Details

NPI number 1619953403
LBN Legal business name Gregory, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 26th, 2022 - about 3 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 1619953403 NPPES
Nevada MEDICAID 100502541

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