Gregory, Richard S
Gregory, Richard S is an individual health care provider with primary practice located at 225 Smith Ave N Suite 200, Saint Paul MN 55102-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gregory, Richard S can be contacted via phone (651) 241-6550.Contact Information
Primary practice address
225 Smith Ave N Suite 200
Saint Paul MN 55102-2533
Phone: (651) 241-6550
Fax: (651) 241-6586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 18727 | Minnesota |
Profile Details
| NPI number | 1063476547 |
|---|---|
| LBN Legal business name | Gregory, Richard S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Dec 16th, 2011 - about 13 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 | 1063476547 | NPPES |
| Minnesota | Other | 18727 | MN MEDICAL LICENSE |
| Minnesota | MEDICAID | 278588900 | MN MEDICAL LICENSE |
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