Kouri, Gregory Allan

Kouri, Gregory Allan is an individual health care provider with primary practice located at 415 W 3Rd St , Yankton SD 57078-4201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kouri, Gregory Allan can be contacted via phone (605) 665-9638.

Contact Information

Primary practice address
415 W 3Rd St Yankton SD 57078-4201
Phone: (605) 665-9638
Fax: (605) 665-0526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 521 South Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 1065 Nebraska

Profile Details

NPI number 1336142272
LBN Legal business name Kouri, Gregory Allan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 4th, 2008 - about 17 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 1336142272 NPPES
Nebraska MEDICAID 36-3050195-07
Nebraska Other NA1114002
Nebraska Other 22055
Nebraska Other 0004557
Nebraska MEDICAID 36-3050195-06
Nebraska Other 521
Nebraska MEDICAID 9200084

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