Condon, Gregory Josef

Condon, Gregory Josef is an individual health care provider with primary practice located at 1211 Union Ave Suite 400, Memphis TN 38104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Condon, Gregory Josef can be contacted via phone (901) 725-8920.

Contact Information

Primary practice address
1211 Union Ave Suite 400 Memphis TN 38104
Phone: (901) 725-8920
Fax: (901) 725-8934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0000018003 Tennessee

Profile Details

NPI number 1477512291
LBN Legal business name Condon, Gregory Josef
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Feb 12th, 2013 - about 13 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 1477512291 NPPES
Tennessee MEDICAID 3026721
Tennessee MEDICAID 158519001

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