Manson, Gregg Wayne
Manson, Gregg Wayne is an individual health care provider with primary practice located at 1350 Stardust St Ste D, Reno NV 89503-4264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Manson, Gregg Wayne can be contacted via phone (775) 746-3400.Contact Information
Primary practice address
1350 Stardust St Ste D
Reno NV 89503-4264
Phone: (775) 746-3400
Fax: (775) 746-3411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G69921 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 8066 | Nevada |
Profile Details
| NPI number | 1134123953 |
|---|---|
| LBN Legal business name | Manson, Gregg Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Dec 15th, 2021 - about 3 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 | 1134123953 | NPPES |
| Nevada | Other | XPY068120 | MEDICAL |
| Nevada | MEDICAID | 201672007 | MEDICAL |
| Nevada | MEDICAID | 201672000 | MEDICAL |
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