Raiss, Gregory
Raiss, Gregory is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Raiss, Gregory can be contacted via phone (248) 964-5190.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301042460 | Michigan |
Profile Details
| NPI number | 1740240373 |
|---|---|
| LBN Legal business name | Raiss, Gregory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jan 23rd, 2018 - about 6 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 | 1740240373 | NPPES |
| Michigan | MEDICAID | 1577400 | |
| Michigan | Other | 300F362480 |
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