Smith, Gregg Alan
Smith, Gregg Alan is an individual health care provider with primary practice located at 1042 N Higley Rd Suite 102-602, Mesa AZ 85205-5398. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Gregg Alan can be contacted via phone (480) 242-6297.Contact Information
Primary practice address
1042 N Higley Rd Suite 102-602
Mesa AZ 85205-5398
Phone: (480) 242-6297
Fax: (480) 699-3129
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2813 | Arizona |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2813 | Arizona |
Profile Details
NPI number | 1003803925 |
---|---|
LBN Legal business name | Smith, Gregg Alan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2005 |
Last updated | Oct 31st, 2018 - about 6 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 | 1003803925 | NPPES |
Other | 1619184652 | NPI | |
Other | 318198 | NPI |
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