Moreland, Gregory Mark

Moreland, Gregory Mark is an sole proprietor health care provider with primary practice located at 2206 22Nd St , Nitro WV 25143-1729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moreland, Gregory Mark can be contacted via phone (304) 755-1571.

Contact Information

Primary practice address
2206 22Nd St Nitro WV 25143-1729
Fax: (304) 755-3091
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14373 West Virginia

Profile Details

NPI number 1134199243
LBN Legal business name Moreland, Gregory Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Mar 7th, 2008 - about 13 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 1134199243 NPPES
West Virginia MEDICAID 0052030000

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