Gregory, Richard S

Gregory, Richard S is an individual health care provider with primary practice located at 225 Smith Ave N Suite 200, Saint Paul MN 55102-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gregory, Richard S can be contacted via phone (651) 241-6550.

Contact Information

Primary practice address
225 Smith Ave N Suite 200 Saint Paul MN 55102-2533
Phone: (651) 241-6550
Fax: (651) 241-6586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18727 Minnesota

Profile Details

NPI number 1063476547
LBN Legal business name Gregory, Richard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 16th, 2011 - about 15 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 1063476547 NPPES
Minnesota Other 18727 MN MEDICAL LICENSE
Minnesota MEDICAID 278588900 MN MEDICAL LICENSE

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