Richburg, Gregory T

Richburg, Gregory T is an individual health care provider with primary practice located at 50 Sherry Ave , Park Falls WI 54552-1467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Richburg, Gregory T can be contacted via phone (715) 762-3212.

Contact Information

Primary practice address
50 Sherry Ave Park Falls WI 54552-1467
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45455-020 Wisconsin

Profile Details

NPI number 1376596684
LBN Legal business name Richburg, Gregory T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 18th, 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 1376596684 NPPES
Wisconsin MEDICAID 34378700

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