Wing, Gregory J
Wing, Gregory J is an individual health care provider with primary practice located at 1055 N 500 W Ste 111 , Provo UT 84604-3305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Wing, Gregory J can be contacted via phone (801) 354-8225.Contact Information
Primary practice address
1055 N 500 W Ste 111
Provo UT 84604-3305
Phone: (801) 354-8225
Fax: (801) 418-0941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 13269871-1205 | Utah |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 13269871-1205 | Utah |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 50147 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 050147 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 050147 | Arizona |
Profile Details
| NPI number | 1568783819 |
|---|---|
| LBN Legal business name | Wing, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Aug 3rd, 2023 - about last year |
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 | 1568783819 | NPPES |
| Arizona | MEDICAID | 238919 |
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