Vansickle, Greggory Jesse

Vansickle, Greggory Jesse is an individual health care provider with primary practice located at 3500 Sw 6Th Ave , Topeka KS 66606-2806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vansickle, Greggory Jesse can be contacted via phone (785) 235-0335.

Contact Information

Primary practice address
3500 Sw 6Th Ave Topeka KS 66606-2806
Phone: (785) 235-0335
Fax: (785) 235-0368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-18965 Kansas

Profile Details

NPI number 1730191735
LBN Legal business name Vansickle, Greggory Jesse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 9th, 2009 - about 17 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 1730191735 NPPES
Kansas MEDICAID 100083540A
Kansas Other 018929

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