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
Phone: (209) 526-3000
Fax: (209) 526-3133
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255351755 | NPPES |
| California | MEDICAID | 00C418240 |
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