Hietpas, Gregory P

Hietpas, Gregory P is an sole proprietor health care provider with primary practice located at 2430 Estancia Blvd Suite 101, Oak Creek Offices, Clearwater FL 33761-2631. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Hietpas, Gregory P can be contacted via phone (727) 738-5054.

Contact Information

Primary practice address
2430 Estancia Blvd Suite 101, Oak Creek Offices Clearwater FL 33761-2631
Phone: (727) 738-5054
Fax: (727) 738-5054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MH1744 Florida

Profile Details

NPI number 1679656029
LBN Legal business name Hietpas, Gregory P
Credentials M.A., L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1679656029 NPPES
Florida Other Z4491 BLUE CROSS BLUE SHIELD

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