Gregory, Mark
Gregory, Mark is an sole proprietor health care provider with primary practice located at 1718 Western Rd , South Daytona FL 32119-1932. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Gregory, Mark can be contacted via phone (386) 295-3159.Contact Information
Primary practice address
1718 Western Rd
South Daytona FL 32119-1932
Phone: (386) 295-3159
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 816376 | Florida |
Profile Details
| NPI number | 1275980153 |
|---|---|
| LBN Legal business name | Gregory, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2016 |
| Last updated | May 19th, 2016 - about 10 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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