Grenga, Tad Edward
Grenga, Tad Edward is an sole proprietor health care provider with primary practice located at 5818 Harbour View Blvd Suite 220, Suffolk VA 23435-3315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Grenga, Tad Edward can be contacted via phone (757) 673-5900.Contact Information
Primary practice address
5818 Harbour View Blvd Suite 220
Suffolk VA 23435-3315
Phone: (757) 673-5900
Fax: (757) 673-5905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 0101041085 | Virginia |
Profile Details
NPI number | 1124009253 |
---|---|
LBN Legal business name | Grenga, Tad Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 7th, 2005 |
Last updated | Jan 6th, 2017 - about 7 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 | 1124009253 | NPPES |
Virginia | MEDICAID | 006901395 | |
Virginia | Other | 118152 | |
Virginia | Other | 410829 | |
Virginia | Other | 15906 |
Popular Providers
-
Barlow, Mark Steven
1616 Clear Lake City Blvd Ste 102 , Houston TX 77062-8069 -
Hunsicker, Lisa M
7750 S Broadway Suite 150, Littleton CO 80122 -
Guarda, Helena M.
5131 River Club Dr Ste 110 , Suffolk VA 23435-3846 -
Miller, Marilyn Diane
295 Stoner Ave Ste 205, Westminster MD 21157-5637 -
Schwartz, Richard G
1500 N Dixie Hwy Ste 304, West Palm Beach FL 33401-2717 -
Menendez, Jorge Luis
7744 Broadway St Ste 210, San Antonio TX 78209-3262 -
Mobley, David Winton
5101 Gate Parkway Suite 2, Jacksonville FL 32256-7276 -
Kapp, Daniel L
1500 N Dixie Hwy Ste 304, West Palm Beach FL 33401-2717