Dubel, Gregory J
Dubel, Gregory J is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Dubel, Gregory J can be contacted via phone (401) 444-5174.Contact Information
Primary practice address
593 Eddy St
Providence RI 02903-4923
Phone: (401) 444-5174
Fax: (401) 921-9212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD09360 | Rhode Island |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 205803 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD09360 | Rhode Island |
Profile Details
| NPI number | 1902896939 |
|---|---|
| LBN Legal business name | Dubel, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 15th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902896939 | NPPES |
| Other | 009360 | BLUE SHIELD | |
| Other | 405085 | BLUE SHIELD | |
| Other | 300100211 | BLUE SHIELD | |
| Other | 007007231 | BLUE SHIELD | |
| Other | 009360 | BLUE SHIELD | |
| MEDICAID | 0162221 | BLUE SHIELD | |
| Other | 7007223 | BLUE SHIELD | |
| Other | 0162221 | BLUE SHIELD | |
| Other | 720082001 | BLUE SHIELD | |
| Other | 000000001988 | BLUE SHIELD | |
| Other | 1600025 | BLUE SHIELD | |
| Other | 241363 | BLUE SHIELD |
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