Wynn, Gregory Scott
Wynn, Gregory Scott is an individual health care provider with primary practice located at 716 W 800 N Ste 300 , Orem UT 84057-6300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wynn, Gregory Scott can be contacted via phone (801) 224-0421.Contact Information
Primary practice address
716 W 800 N Ste 300
Orem UT 84057-6300
Phone: (801) 224-0421
Fax: (801) 224-0821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 97-341832-1205 | Utah |
Profile Details
| NPI number | 1376550855 |
|---|---|
| LBN Legal business name | Wynn, Gregory Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 9th, 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 | 1376550855 | NPPES |
| Utah | MEDICAID | D0999 |
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