Titus, Gregory Wayne

Titus, Gregory Wayne is an individual health care provider with primary practice located at 931 Pennsylvania Ave , Ottumwa IA 52501-2138. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Titus, Gregory Wayne can be contacted via phone (641) 684-3000.

Contact Information

Primary practice address
931 Pennsylvania Ave Ottumwa IA 52501-2138
Phone: (641) 684-3000
Fax: (641) 684-2469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 090162 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C090162 Iowa

Profile Details

NPI number 1306830070
LBN Legal business name Titus, Gregory Wayne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 16th, 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 1306830070 NPPES
Iowa MEDICAID 041S954
Iowa Other 42068106092
Iowa Other 026810

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