Gregerson, Tammy
Gregerson, Tammy is an individual health care provider with primary practice located at 5502 W Broadway Ave , Crystal MN 55428-3508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gregerson, Tammy can be contacted via phone (763) 504-6500.Contact Information
Primary practice address
5502 W Broadway Ave
Crystal MN 55428-3508
Phone: (763) 504-6500
Fax: (763) 504-6544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 945 | Minnesota |
Profile Details
| NPI number | 1629122767 |
|---|---|
| LBN Legal business name | Gregerson, Tammy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Oct 15th, 2009 - about 17 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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