Heller, Gregory

Heller, Gregory is an sole proprietor health care provider with primary practice located at 19389 N 59Th Ave , Glendale AZ 85308-6500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Heller, Gregory can be contacted via phone (623) 537-6000.

Contact Information

Primary practice address
19389 N 59Th Ave Glendale AZ 85308-6500
Phone: (623) 537-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 0102206528 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R1704 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 006017 Arizona

Profile Details

NPI number 1275761991
LBN Legal business name Heller, Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2009
Last updated Apr 30th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275761991 NPPES
Arizona Other R1704 TRAINING PERMIT

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