Vazquez-Norman, Gregory

Vazquez-Norman, Gregory is an individual health care provider with primary practice located at 22001 Fairmount Blvd , Shaker Heights OH 44118. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vazquez-Norman, Gregory can be contacted via phone (216) 320-6699.

Contact Information

Primary practice address
22001 Fairmount Blvd Shaker Heights OH 44118
Phone: (216) 320-6699
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1451118-SUPV Ohio

Profile Details

NPI number 1649662214
LBN Legal business name Vazquez-Norman, Gregory
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2015
Last updated Jun 13th, 2018 - about 8 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 1649662214 NPPES
Ohio MEDICAID 0197473

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