Freshwater, Gregory A

Freshwater, Gregory A is an individual health care provider with primary practice located at 710 Wellington Ave , Grand Junction CO 81501-6123. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Freshwater, Gregory A can be contacted via phone (970) 298-7106.

Contact Information

Primary practice address
710 Wellington Ave Grand Junction CO 81501-6123
Phone: (970) 298-7106
Fax: (970) 298-7177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2205 Colorado

Profile Details

NPI number 1043393978
LBN Legal business name Freshwater, Gregory A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 4th, 2011 - about 15 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 1043393978 NPPES
Colorado MEDICAID 02589737

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