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
Phone: (307) 674-6022
Fax: (307) 674-5405
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023054285 | NPPES |
Alaska | MEDICAID | MD4548 | |
Alaska | MEDICAID | 134828100 |
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