Granzeier, Gregory S.

Granzeier, Gregory S. is an individual health care provider with primary practice located at 5000 Prairie Rose Dr , Roscoe IL 61073-7792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Granzeier, Gregory S. can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
5000 Prairie Rose Dr Roscoe IL 61073-7792
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-094024 Illinois

Profile Details

NPI number 1134239320
LBN Legal business name Granzeier, Gregory S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 21st, 2010 - about 16 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 1134239320 NPPES
Illinois MEDICAID 036094024

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