Smith, Gregory Kent

Smith, Gregory Kent is an individual health care provider with primary practice located at 31515 Rancho Pueblo Rd Ste. 101, Temecula CA 92592-4836. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Gregory Kent can be contacted via phone (951) 303-1414.

Contact Information

Primary practice address
31515 Rancho Pueblo Rd Ste. 101 Temecula CA 92592-4836
Phone: (951) 303-1414
Fax: (951) 303-1616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT16865 California

Profile Details

NPI number 1508840489
LBN Legal business name Smith, Gregory Kent
Credentials PT, MOMT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2005
Last updated Jun 1st, 2015 - about 11 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 1508840489 NPPES
Washington Other 0175124 WA DEPT OF LABOR

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