Schroeder, Gregory Preston
Schroeder, Gregory Preston is an individual health care provider with primary practice located at 1550 N Main St Suite C, Layton UT 84041-1757. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Schroeder, Gregory Preston can be contacted via phone (801) 217-3755.Contact Information
Primary practice address
1550 N Main St Suite C
Layton UT 84041-1757
Phone: (801) 217-3755
Fax: (801) 217-3180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-12174 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2005014046 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6538047-2401 | Utah |
Profile Details
| NPI number | 1053362152 |
|---|---|
| LBN Legal business name | Schroeder, Gregory Preston |
| Credentials | PT, DPT, OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Oct 15th, 2012 - about 13 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 | 1053362152 | NPPES |
| Illinois | Other | 070-012174 | LICENSE |
| Illinois | Other | 2005014046 | LICENSE |
| Illinois | Other | 6538047-2401 | LICENSE |
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