Schubach, Gregg David
Schubach, Gregg David is an individual health care provider with primary practice located at 2101 W Arlington Blvd Ste 210 , Greenville NC 27834-5758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Schubach, Gregg David can be contacted via phone (252) 931-7638.Contact Information
Primary practice address
2101 W Arlington Blvd Ste 210
Greenville NC 27834-5758
Phone: (252) 931-7638
Fax: (252) 931-7694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | MD059410L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD059410L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2022-01961 | North Carolina |
Profile Details
| NPI number | 1558369900 |
|---|---|
| LBN Legal business name | Schubach, Gregg David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1558369900 | NPPES |
| Pennsylvania | Other | MD059410L | LICENSE |
| Pennsylvania | Other | 25MA07565100 | LICENSE |
| Pennsylvania | Other | 730893 | LICENSE |
| Pennsylvania | Other | 188552-1 | LICENSE |
| Pennsylvania | MEDICAID | 1012411910001 | LICENSE |
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