Tesluk, Gregory Clifton

Tesluk, Gregory Clifton is an sole proprietor health care provider with primary practice located at 400 E Orangeburg Ave Ste 2 , Modesto CA 95350-5365. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ophthalmic, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Ophthalmic is his primary health care specialty. Tesluk, Gregory Clifton can be contacted via phone (209) 526-3000.

Contact Information

Primary practice address
400 E Orangeburg Ave Ste 2 Modesto CA 95350-5365
Fax: (209) 526-3133
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X C41824 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C418240 California

Profile Details

NPI number 1255351755
LBN Legal business name Tesluk, Gregory Clifton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1255351755 NPPES
California MEDICAID 00C418240

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