Skaggs, Gregory Gordon

Skaggs, Gregory Gordon is an individual health care provider with primary practice located at 910 Wallace Ave , Leitchfield KY 42754-2414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Skaggs, Gregory Gordon can be contacted via phone (270) 259-9651.

Contact Information

Primary practice address
910 Wallace Ave Leitchfield KY 42754-2414
Phone: (270) 259-9651
Fax: (270) 259-9582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24093 Kentucky

Profile Details

NPI number 1043261902
LBN Legal business name Skaggs, Gregory Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Feb 1st, 2012 - about 12 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 1043261902 NPPES
Kentucky Other 203767609 PHCS
Kentucky Other 203767609 PHCS
Kentucky Other 203767609 PHCS
Kentucky Other 203767609 PHCS
Kentucky Other 4349009 PHCS
Kentucky Other 203767609 PHCS
Kentucky MEDICAID 64240930 PHCS
Kentucky Other 203767609 PHCS
Kentucky Other 207677609 PHCS
Kentucky Other 2434505000 PHCS

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