Wells, Gregory Matthew
Wells, Gregory Matthew is an individual health care provider with primary practice located at 207 Haven Dr , Dothan AL 36301-2919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wells, Gregory Matthew can be contacted via phone (334) 793-3319.Contact Information
Primary practice address
207 Haven Dr
Dothan AL 36301-2919
Phone: (334) 793-3319
Fax: (334) 793-2291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME94925 | Florida |
Profile Details
| NPI number | 1265494181 |
|---|---|
| LBN Legal business name | Wells, Gregory Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | May 23rd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265494181 | NPPES |
| Alabama | Other | 051557875 | MEDICARE PROVIDER |
| Alabama | MEDICAID | 009938269 | MEDICARE PROVIDER |
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