Gregory, Julia

Gregory, Julia is an individual health care provider with primary practice located at 1101 Jackson St Sw , Gravette AR 72736-9121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gregory, Julia can be contacted via phone (479) 750-0125.

Contact Information

Primary practice address
1101 Jackson St Sw Gravette AR 72736-9121
Phone: (479) 750-0125
Fax: (479) 750-0323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E4920 Arkansas

Profile Details

NPI number 1689680043
LBN Legal business name Gregory, Julia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 21st, 2022 - about 4 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 1689680043 NPPES
Arkansas MEDICAID 161151001
Arkansas Other E4920

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