Waters, Gregory Allen

Waters, Gregory Allen is an sole proprietor health care provider with primary practice located at 3601 Pacific Ave , Stockton CA 95211-0110. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Waters, Gregory Allen can be contacted via phone (209) 946-2132.

Contact Information

Primary practice address
3601 Pacific Ave Stockton CA 95211-0110
Phone: (209) 946-2132
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California

Profile Details

NPI number 1902029960
LBN Legal business name Waters, Gregory Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
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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