Streeter, Gregory Dean

Streeter, Gregory Dean is an sole proprietor health care provider with primary practice located at 200 Doctor Dr Suite H, Jacksonville NC 28546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Streeter, Gregory Dean can be contacted via phone (910) 353-0565.

Contact Information

Primary practice address
200 Doctor Dr Suite H Jacksonville NC 28546
Fax: (910) 353-3940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25532 North Carolina

Profile Details

NPI number 1891807210
LBN Legal business name Streeter, Gregory Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Mar 24th, 2010 - about 15 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 1891807210 NPPES
North Carolina MEDICAID 8980340
North Carolina Other 80340

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