Jeffrey C. Gregory Phd Pc

LBN: Jeffrey C. Gregory Phd Pc
Jeffrey C. Gregory Phd Pc is an health care organization with primary practice located at 1407 24Th Ave S Ste 204 , Grand Forks ND 58201-6761. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Jeffrey C. Gregory Phd Pc can be contacted via phone (701) 213-0426, or through Gregory, Jeffrey Charles via phone (701) 213-0426.

Contact Information

Primary practice address
1407 24Th Ave S Ste 204 Grand Forks ND 58201-6761
Fax:
Website:
Authorized official contact:
Name: Gregory, Jeffrey Charles PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 397 North Dakota
Agencies / Community/Behavioral Health 251S00000X 397 North Dakota

Profile Details

NPI number 1194989590
LBN Legal business name Jeffrey C. Gregory Phd Pc
DBA Doing business as
Authorized official Gregory, Jeffrey Charles PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2008
Last updated May 8th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194989590 NPPES
North Dakota Other 28534 BCBSND
North Dakota MEDICAID 14458 BCBSND

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