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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 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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