Shasby, Gregory B

Shasby, Gregory B is an individual health care provider with primary practice located at 10128 W Broad St Forum Bldg Iii, Suite K, Glen Allen VA 23060-6761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Shasby, Gregory B can be contacted via phone (804) 217-9210.

Contact Information

Primary practice address
10128 W Broad St Forum Bldg Iii, Suite K Glen Allen VA 23060-6761
Phone: (804) 217-9210
Fax: (804) 217-9213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 004092 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305205897 Virginia

Profile Details

NPI number 1003906793
LBN Legal business name Shasby, Gregory B
Credentials PHD, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 19th, 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 1003906793 NPPES
Virginia Other 342327 BCBS (PHYSICAL THERAPY)
Virginia Other P00217523 BCBS (PHYSICAL THERAPY)
Virginia Other P00930518 BCBS (PHYSICAL THERAPY)
Virginia Other 7263602 BCBS (PHYSICAL THERAPY)
Virginia Other 000000331732 BCBS (PHYSICAL THERAPY)
Virginia MEDICAID 1003906793 BCBS (PHYSICAL THERAPY)

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