Nemchick, Gregory Alan

Nemchick, Gregory Alan is an individual health care provider with primary practice located at 1905 Mountain View Ln #250, Forest Grove OR 97116. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nemchick, Gregory Alan can be contacted via phone (503) 357-3098.

Contact Information

Primary practice address
1905 Mountain View Ln #250 Forest Grove OR 97116
Phone: (503) 357-3098
Fax: (503) 359-5448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4964 Oregon

Profile Details

NPI number 1083796296
LBN Legal business name Nemchick, Gregory Alan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083796296 NPPES
Oregon MEDICAID 137737
Oregon Other 584447

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