Poole, Gregory John
Poole, Gregory John is an individual health care provider with primary practice located at 2727 Plaza Dr , Wausau WI 54401. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Poole, Gregory John can be contacted via phone (715) 847-3034.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 755 | Wisconsin |
Profile Details
| NPI number | 1679674378 |
|---|---|
| LBN Legal business name | Poole, Gregory John |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679674378 | NPPES |
| Wisconsin | MEDICAID | 43225500 |
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