Lervick, Gregory Neal

Lervick, Gregory Neal is an sole proprietor health care provider with primary practice located at 4010 W 65Th St , Edina MN 55435-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lervick, Gregory Neal can be contacted via phone (952) 456-7000.

Contact Information

Primary practice address
4010 W 65Th St Edina MN 55435-1706
Fax: (952) 456-7001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 45031 Minnesota

Profile Details

NPI number 1881701829
LBN Legal business name Lervick, Gregory Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Jan 4th, 2023 - about 2 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 1881701829 NPPES
Minnesota MEDICAID 328275900

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