Stivland, Greg

Stivland, Greg is an sole proprietor health care provider with primary practice located at 3514 University Dr Ste 8 , Durham NC 27707-2659. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Stivland, Greg can be contacted via phone (919) 493-7002.

Contact Information

Primary practice address
3514 University Dr Ste 8 Durham NC 27707-2659
Phone: (919) 493-7002
Fax: (919) 403-1407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1757 North Carolina

Profile Details

NPI number 1811025505
LBN Legal business name Stivland, Greg
Credentials OTL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 9th, 2007 - about 18 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 1811025505 NPPES
North Carolina MEDICAID 7379398
North Carolina Other 79398

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