White, Gregory R
White, Gregory R is an individual health care provider with primary practice located at 6926 Brier Creek Ct , Bradenton FL 34202-4211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. White, Gregory R can be contacted via phone (863) 698-8643.Contact Information
Primary practice address
6926 Brier Creek Ct
Bradenton FL 34202-4211
Phone: (863) 698-8643
Fax: (863) 534-0486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME0039946 | Florida |
Profile Details
| NPI number | 1598745390 |
|---|---|
| LBN Legal business name | White, Gregory R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 25th, 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 | 1598745390 | NPPES |
| Florida | MEDICAID | 067071500 | |
| Florida | Other | 53636 |
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