Wise, Gregory R

Wise, Gregory R is an sole proprietor health care provider with primary practice located at 2115 Leiter Rd , Miamisburg OH 45342-3659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wise, Gregory R can be contacted via phone (937) 384-6800.

Contact Information

Primary practice address
2115 Leiter Rd Miamisburg OH 45342-3659
Phone: (937) 384-6800
Fax: (937) 384-6939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G28815 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35 072143 Ohio

Profile Details

NPI number 1184605263
LBN Legal business name Wise, Gregory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Nov 13th, 2020 - about 5 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 1184605263 NPPES
Ohio MEDICAID 2033150

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