Gregory, Olympia Denise
Gregory, Olympia Denise is an sole proprietor health care provider with primary practice located at 108 New London Tpke , Norwich CT 06360-2645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gregory, Olympia Denise can be contacted via phone (860) 859-3612.Contact Information
Primary practice address
108 New London Tpke
Norwich CT 06360-2645
Phone: (860) 859-3612
Fax: (860) 859-3343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000025 | Connecticut |
Profile Details
| NPI number | 1477653475 |
|---|---|
| LBN Legal business name | Gregory, Olympia Denise |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Mar 20th, 2019 - about 6 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 | 1477653475 | NPPES |
| Connecticut | Other | 400000025CT04 | BLUE CROSS BLUE SHIELD |
| Connecticut | Other | 9468073 | BLUE CROSS BLUE SHIELD |
| Connecticut | Other | P3755989 | BLUE CROSS BLUE SHIELD |
| Connecticut | Other | 2731919 | BLUE CROSS BLUE SHIELD |
| Connecticut | Other | 6431476 | BLUE CROSS BLUE SHIELD |
| Connecticut | MEDICAID | 004095677 | BLUE CROSS BLUE SHIELD |
| Connecticut | Other | 7774815 | BLUE CROSS BLUE SHIELD |
| Connecticut | Other | 2V5102 | BLUE CROSS BLUE SHIELD |
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