Reese, Gregg Tyler
Reese, Gregg Tyler is an individual health care provider with primary practice located at 3260 Stirling Rd , Hollywood FL 33021-2041. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Reese, Gregg Tyler can be contacted via phone (954) 989-4738.Contact Information
Primary practice address
3260 Stirling Rd
Hollywood FL 33021-2041
Phone: (954) 989-4738
Fax: (954) 989-7600
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | CH0007234 | Florida |
Profile Details
NPI number | 1992787162 |
---|---|
LBN Legal business name | Reese, Gregg Tyler |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2005 |
Last updated | Dec 1st, 2010 - about 15 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 | 1992787162 | NPPES |
Florida | MEDICAID | 381077100 | |
Florida | Other | CH0007234 |
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