Hendricks, Gregory S

Hendricks, Gregory S is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite G500, Huntington WV 25701-3656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hendricks, Gregory S can be contacted via phone (304) 691-1100.

Contact Information

Primary practice address
1600 Medical Center Dr Suite G500 Huntington WV 25701-3656
Phone: (304) 691-1100
Fax: (304) 691-1183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21808 West Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 21808 West Virginia

Profile Details

NPI number 1487616868
LBN Legal business name Hendricks, Gregory S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 17th, 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 1487616868 NPPES
Kentucky MEDICAID 64098361
Kentucky MEDICAID 2558754
Kentucky MEDICAID 3810002242

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