Gregory, Jeffrey C

Gregory, Jeffrey C is an sole proprietor health care provider with primary practice located at 910 Lincoln Ave , Detroit Lakes MN 56501. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gregory, Jeffrey C can be contacted via phone (701) 213-0426.

Contact Information

Primary practice address
910 Lincoln Ave Detroit Lakes MN 56501
Phone: (701) 213-0426
Fax: (866) 575-3304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 397 North Dakota

Profile Details

NPI number 1427274729
LBN Legal business name Gregory, Jeffrey C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Apr 30th, 2016 - about 9 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 1427274729 NPPES
North Dakota MEDICAID 054519
North Dakota Other 028531

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