Medeiros, Gregg Allen

Medeiros, Gregg Allen is an sole proprietor health care provider with primary practice located at 1196 Elmwood Ave , Providence RI 02907-3716. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Independent Medical Examiner. Chiropractic Providers / Independent Medical Examiner is his primary health care specialty. Medeiros, Gregg Allen can be contacted via phone (401) 461-1600.

Contact Information

Primary practice address
1196 Elmwood Ave Providence RI 02907-3716
Phone: (401) 461-1600
Fax: (401) 461-3500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DCP00545 Rhode Island
Chiropractic Providers / Independent Medical Examiner 111NI0013X DCP00545 Rhode Island

Profile Details

NPI number 1568545580
LBN Legal business name Medeiros, Gregg Allen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated May 23rd, 2012 - about 12 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 1568545580 NPPES
Rhode Island Other 0024812 MEDICARE PTAN

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