Bingaman, Gregory George

Bingaman, Gregory George is an sole proprietor health care provider with primary practice located at 621 Memorial Dr Ste 502 , South Bend IN 46601-1075. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Bingaman, Gregory George can be contacted via phone (574) 647-5875.

Contact Information

Primary practice address
621 Memorial Dr Ste 502 South Bend IN 46601-1075
Phone: (574) 647-5875
Fax: (574) 647-5878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704338962 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71003819A Indiana

Profile Details

NPI number 1265700090
LBN Legal business name Bingaman, Gregory George
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2011
Last updated Mar 30th, 2021 - 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 1265700090 NPPES
Indiana MEDICAID 201205150

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