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
Fax: (954) 989-7600
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992787162 NPPES
Florida MEDICAID 381077100
Florida Other CH0007234

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