Lagos, Gregory T.
Lagos, Gregory T. is an individual health care provider with primary practice located at 607 Chestnut Street , South Charleston WV 25309-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lagos, Gregory T. can be contacted via phone (304) 766-9136.Contact Information
Primary practice address
607 Chestnut Street
South Charleston WV 25309-1205
Phone: (304) 766-9136
Fax: (304) 766-9139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 1300 | West Virginia |
Profile Details
| NPI number | 1316946825 |
|---|---|
| LBN Legal business name | Lagos, Gregory T. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Feb 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316946825 | NPPES |
| West Virginia | MEDICAID | 0043648000 |
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