Syvertson, Gregory Stuart

Syvertson, Gregory Stuart is an sole proprietor health care provider with primary practice located at 1 John Raine Dr , Rainelle WV 25962-1457. 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. Syvertson, Gregory Stuart can be contacted via phone (304) 438-9225.

Contact Information

Primary practice address
1 John Raine Dr Rainelle WV 25962-1457
Phone: (304) 438-9225
Fax: (304) 438-9226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0001489 West Virginia

Profile Details

NPI number 1104800655
LBN Legal business name Syvertson, Gregory Stuart
Credentials PT, DPT, CFT,CCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Aug 19th, 2010 - 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 1104800655 NPPES
West Virginia Other 5534228 FIRST HEALTH
West Virginia Other 612406500 FIRST HEALTH
West Virginia Other 697891 FIRST HEALTH
West Virginia MEDICAID 9420008-000 FIRST HEALTH
West Virginia Other 1064530 FIRST HEALTH
West Virginia Other 7239017 FIRST HEALTH
West Virginia Other 001714553 FIRST HEALTH
West Virginia Other 87316 FIRST HEALTH

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