Harley, Dwight Gregg
Harley, Dwight Gregg is an individual health care provider with primary practice located at 801 N 29Th St , Billings MT 59101-0905. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harley, Dwight Gregg can be contacted via phone (406) 238-2500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0311 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 367 | Montana |
Profile Details
| NPI number | 1124091632 |
|---|---|
| LBN Legal business name | Harley, Dwight Gregg |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Nov 25th, 2013 - about 11 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 | 1124091632 | NPPES |
| South Dakota | MEDICAID | 6825922 |
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