Ledgerwood, Greg L

Ledgerwood, Greg L is an individual health care provider with primary practice located at 520 W Indian Ave , Brewster WA 98812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ledgerwood, Greg L can be contacted via phone (509) 689-2525.

Contact Information

Primary practice address
520 W Indian Ave Brewster WA 98812
Phone: (509) 689-2525
Fax: (509) 689-3247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X MD00012638 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00012638 Washington

Profile Details

NPI number 1235190380
LBN Legal business name Ledgerwood, Greg L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 4th, 2008 - 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 1235190380 NPPES
Washington MEDICAID 1003813
Washington Other 202565

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