Greco, Louis G

Greco, Louis G is an individual health care provider with primary practice located at 55 S 63Rd St Ste 6 , Mesa AZ 85206-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Greco, Louis G can be contacted via phone (480) 981-9234.

Contact Information

Primary practice address
55 S 63Rd St Ste 6 Mesa AZ 85206-1605
Phone: (480) 981-9234
Fax: (480) 981-3038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 12145 Arizona

Profile Details

NPI number 1053320390
LBN Legal business name Greco, Louis G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated May 10th, 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 1053320390 NPPES
Arizona Other AZ0038380 BCBS AZ PROVIDER NUMBER
Arizona Other 110086203 BCBS AZ PROVIDER NUMBER
Arizona Other AZ5313 BCBS AZ PROVIDER NUMBER
Arizona MEDICAID 224494 BCBS AZ PROVIDER NUMBER

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