Gresko, Dawn Elizabeth

Gresko, Dawn Elizabeth is an individual health care provider with primary practice located at 18660 Bagley Rd Ste 404 , Middleburg Heights OH 44130-3483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Gresko, Dawn Elizabeth can be contacted via phone (404) 234-8746.

Contact Information

Primary practice address
18660 Bagley Rd Ste 404 Middleburg Heights OH 44130-3483
Phone: (404) 234-8746
Fax: (440) 234-8746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X APRN.CNS.13865 Ohio

Profile Details

NPI number 1972845188
LBN Legal business name Gresko, Dawn Elizabeth
Credentials PMH-CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Jul 9th, 2024 - about 2 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 1972845188 NPPES
Ohio MEDICAID 3025372

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