Rivenbark, Gregory J

Rivenbark, Gregory J is an individual health care provider with primary practice located at 7757 Auburn Rd Ste 15 , Painesville OH 44077-9604. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Rivenbark, Gregory J can be contacted via phone (440) 350-0832.

Contact Information

Primary practice address
7757 Auburn Rd Ste 15 Painesville OH 44077-9604
Phone: (440) 350-0832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67000350 Ohio

Profile Details

NPI number 1164089306
LBN Legal business name Rivenbark, Gregory J
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2019
Last updated Apr 8th, 2020 - about 4 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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