Motl, Gregory H
Motl, Gregory H is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Motl, Gregory H can be contacted via phone (608) 825-3008.Contact Information
Primary practice address
10 Tower Dr
Sun Prairie WI 53590-1239
Phone: (608) 825-3008
Fax: (608) 825-3794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23827-020 | Wisconsin |
Profile Details
| NPI number | 1548216013 |
|---|---|
| LBN Legal business name | Motl, Gregory H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Oct 4th, 2016 - about 8 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 | 1548216013 | NPPES |
| Wisconsin | MEDICAID | 30714900 |
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