Koberstein, Gregory

Koberstein, Gregory is an individual health care provider with primary practice located at 551 S Higley Rd , Mesa AZ 85206-2148. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Koberstein, Gregory can be contacted via phone (480) 892-9777.

Contact Information

Primary practice address
551 S Higley Rd Mesa AZ 85206-2148
Phone: (480) 892-9777
Fax: (480) 635-0222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6888 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 6888 Arizona

Profile Details

NPI number 1871655001
LBN Legal business name Koberstein, Gregory
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871655001 NPPES
Arizona MEDICAID 982331

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