Vanginault, Gregory Jay

Vanginault, Gregory Jay is an individual health care provider with primary practice located at 3601 4Th St Ste. 1C282, Lubbock TX 79430-8182. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Vanginault, Gregory Jay can be contacted via phone (806) 743-2981.

Contact Information

Primary practice address
3601 4Th St Ste. 1C282 Lubbock TX 79430-8182
Phone: (806) 743-2981
Fax: (806) 743-2984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 672045 Texas

Profile Details

NPI number 1457406894
LBN Legal business name Vanginault, Gregory Jay
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Dec 9th, 2021 - about 3 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 1457406894 NPPES
Texas Other 155776101 FIRSTCARE COMMERCIAL
Texas MEDICAID 155776100 FIRSTCARE COMMERCIAL
Texas MEDICAID 200103950A FIRSTCARE COMMERCIAL
Texas Other 87137U FIRSTCARE COMMERCIAL
Texas Other 87136U FIRSTCARE COMMERCIAL

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