Stephany, Gregg J

Stephany, Gregg J is an individual health care provider with primary practice located at 5848 S 300 E , Salt Lake City UT 84107-6121. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Stephany, Gregg J can be contacted via phone (801) 314-4900.

Contact Information

Primary practice address
5848 S 300 E Salt Lake City UT 84107-6121
Phone: (801) 314-4900
Fax: (801) 314-4919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1003 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6717503-1206 Utah

Profile Details

NPI number 1487747515
LBN Legal business name Stephany, Gregg J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 30th, 2017 - about 7 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 1487747515 NPPES
Colorado MEDICAID 07010036

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