Wells, Gregg A

Wells, Gregg A is an individual health care provider with primary practice located at 210 N Wilson Dr , West Union OH 45693-1577. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wells, Gregg A can be contacted via phone (937) 544-1544.

Contact Information

Primary practice address
210 N Wilson Dr West Union OH 45693-1577
Phone: (937) 544-1544
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35055354 Ohio

Profile Details

NPI number 1700884004
LBN Legal business name Wells, Gregg A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 18th, 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 1700884004 NPPES
Ohio Other 000000189989 BC BS
Ohio Other 300119620 BC BS
Ohio MEDICAID 0778430 BC BS

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