Gregersen, Erik Brian

Gregersen, Erik Brian is an individual health care provider with primary practice located at 3263 Eaton Rd , Green Bay WI 54311-6830. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gregersen, Erik Brian can be contacted via phone (920) 433-6700.

Contact Information

Primary practice address
3263 Eaton Rd Green Bay WI 54311-6830
Phone: (920) 433-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11701-024 Wisconsin

Profile Details

NPI number 1235422064
LBN Legal business name Gregersen, Erik Brian
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated May 26th, 2011 - about 14 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 1235422064 NPPES
Wisconsin Other 11701-024 TEMP WI LICENSE

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