Koby, Gregory B

Koby, Gregory B is an individual health care provider with primary practice located at 8180 26 Mile Rd , Shelby Township MI 48316-5129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koby, Gregory B can be contacted via phone (586) 677-3310.

Contact Information

Primary practice address
8180 26 Mile Rd Shelby Township MI 48316-5129
Phone: (586) 677-3310
Fax: (586) 677-3326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013537 Michigan

Profile Details

NPI number 1164474078
LBN Legal business name Koby, Gregory B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 29th, 2012 - about 12 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 1164474078 NPPES
Michigan Other 080E020640 BCBS
Michigan Other OP48400001 BCBS
Michigan Other 1022827 BCBS
Michigan Other CD3610 POO374817 BCBS

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