Mebs, Gregory Fredrick

Mebs, Gregory Fredrick is an individual health care provider with primary practice located at 4339 Winston Ave Latonia Centre, Covington KY 41015-1739. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mebs, Gregory Fredrick can be contacted via phone (859) 760-3025.

Contact Information

Primary practice address
4339 Winston Ave Latonia Centre Covington KY 41015-1739
Phone: (859) 760-3025
Fax: (859) 261-5487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X KY-0225 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1097 Kentucky

Profile Details

NPI number 1578611992
LBN Legal business name Mebs, Gregory Fredrick
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 9th, 2015 - about 10 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 1578611992 NPPES
Kentucky Other 12517483 CAQH
Kentucky MEDICAID 7100270040 CAQH

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