Churchill, Gregory Scott

Churchill, Gregory Scott is an individual health care provider with primary practice located at 310 N 7 Hills Rd , O Fallon IL 62269-4111. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Churchill, Gregory Scott can be contacted via phone (618) 624-6181.

Contact Information

Primary practice address
310 N 7 Hills Rd O Fallon IL 62269-4111
Phone: (618) 624-6181
Fax: (618) 624-7172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002702 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1053390237
LBN Legal business name Churchill, Gregory Scott
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Mar 25th, 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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