Enders, Gregory H

Enders, Gregory H is an individual health care provider with primary practice located at 743 Jefferson Ave Suite 104, Scranton PA 18510-1639. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Enders, Gregory H can be contacted via phone (570) 558-0182.

Contact Information

Primary practice address
743 Jefferson Ave Suite 104 Scranton PA 18510-1639
Phone: (570) 558-0182
Fax: (570) 558-0183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD 058911 Pennsylvania
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD058911L Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD058911L Pennsylvania

Profile Details

NPI number 1639251820
LBN Legal business name Enders, Gregory H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 4th, 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 1639251820 NPPES
Pennsylvania MEDICAID 0016109440002

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