Deters, Gregory
Deters, Gregory is an individual health care provider with primary practice located at 200 Richmond Ave E , Mattoon IL 61938-4652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deters, Gregory can be contacted via phone (217) 234-7000.Contact Information
Primary practice address
200 Richmond Ave E
Mattoon IL 61938-4652
Phone: (217) 234-7000
Fax: (217) 238-5484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-087539 | Illinois |
Profile Details
| NPI number | 1497861702 |
|---|---|
| LBN Legal business name | Deters, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Sep 21st, 2018 - about 7 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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