Wynne, Gregory Pearson

Wynne, Gregory Pearson is an individual health care provider with primary practice located at 9669 E 146Th St Ste 330 , Noblesville IN 46060-5006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wynne, Gregory Pearson can be contacted via phone (317) 355-2663.

Contact Information

Primary practice address
9669 E 146Th St Ste 330 Noblesville IN 46060-5006
Phone: (317) 355-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 02006722A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 02006722A Indiana

Profile Details

NPI number 1558725937
LBN Legal business name Wynne, Gregory Pearson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated Jun 13th, 2023 - about 2 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 1558725937 NPPES
Indiana Other Q00387672 RAILROAD MEDICARE
Indiana Other 266180L93 RAILROAD MEDICARE
Indiana MEDICAID 300065787 RAILROAD MEDICARE

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