Newell, Gregory Matthew
Newell, Gregory Matthew is an individual health care provider with primary practice located at 625 Ramsey Ave Suite B, Grants Pass OR 97527-5808. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Newell, Gregory Matthew can be contacted via phone (541) 476-1919.Contact Information
Primary practice address
625 Ramsey Ave Suite B
Grants Pass OR 97527-5808
Phone: (541) 476-1919
Fax: (541) 476-1920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4205 | Oregon |
Profile Details
| NPI number | 1770565558 |
|---|---|
| LBN Legal business name | Newell, Gregory Matthew |
| Credentials | MSPT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Oct 16th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770565558 | NPPES |
| Oregon | Other | 081009-022 | BLUECROSS BLUESHIELD |
| Oregon | Other | P00620265 | BLUECROSS BLUESHIELD |
| Oregon | MEDICAID | 182506 | BLUECROSS BLUESHIELD |
Popular Providers
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