Grunwald, Gregory
Grunwald, Gregory is an individual health care provider with primary practice located at 2380 W Main St Ste A , Medford OR 97501-2390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grunwald, Gregory can be contacted via phone (541) 858-7183.Contact Information
Primary practice address
2380 W Main St Ste A
Medford OR 97501-2390
Phone: (541) 858-7183
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO22277 | Oregon |
Profile Details
| NPI number | 1215998679 |
|---|---|
| LBN Legal business name | Grunwald, Gregory |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Sep 23rd, 2010 - about 15 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 | 1215998679 | NPPES |
| Oregon | MEDICAID | 138021 | |
| Oregon | Other | 844477024 | |
| Oregon | Other | 838366007 | |
| Oregon | Other | 858463018 | |
| Oregon | Other | 858464016 | |
| Oregon | Other | 838334020 | |
| Oregon | Other | P00285793 |
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