Marino, Gregory Gerritt

Marino, Gregory Gerritt is an individual health care provider with primary practice located at 1401 W 5Th St , Sheridan WY 82801-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Marino, Gregory Gerritt can be contacted via phone (307) 674-6022.

Contact Information

Primary practice address
1401 W 5Th St Sheridan WY 82801-2705
Fax: (307) 674-5405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4548 Alaska
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 9050A Wyoming

Profile Details

NPI number 1023054285
LBN Legal business name Marino, Gregory Gerritt
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 17th, 2018 - about 7 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 1023054285 NPPES
Alaska MEDICAID MD4548
Alaska MEDICAID 134828100

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