Mesa, Gregory Robert
Mesa, Gregory Robert is an individual health care provider with primary practice located at 165 Coolridge St , Hendersonville NC 28792-2767. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mesa, Gregory Robert can be contacted via phone (828) 694-3939.Contact Information
Primary practice address
165 Coolridge St
Hendersonville NC 28792-2767
Phone: (828) 694-3939
Fax: (828) 692-0533
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103090 | North Carolina |
Profile Details
NPI number | 1023144193 |
---|---|
LBN Legal business name | Mesa, Gregory Robert |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 26th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1023144193 | NPPES |
Other | 147223XX | PREFERRED CARE | |
Other | P00163937 | PREFERRED CARE | |
Other | P61859 | PREFERRED CARE | |
Other | P00163937 | PREFERRED CARE | |
MEDICAID | 348944C | PREFERRED CARE | |
MEDICAID | 348944A | PREFERRED CARE | |
Other | D1819 | PREFERRED CARE | |
Other | 103090 | PREFERRED CARE | |
MEDICAID | 8913525 | PREFERRED CARE | |
Other | DB5806 | PREFERRED CARE |
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