Hawthorne, Gregory Dale
Hawthorne, Gregory Dale is an individual health care provider with primary practice located at Jenison Fieldhouse Michigan State University, East Lansing MI 48823. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Hawthorne, Gregory Dale can be contacted via phone (517) 355-1627.Contact Information
Primary practice address
Jenison Fieldhouse Michigan State University
East Lansing MI 48823
Phone: (517) 355-1627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1477600963 |
|---|---|
| LBN Legal business name | Hawthorne, Gregory Dale |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
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