Zell, Gregory Gene

Zell, Gregory Gene is an sole proprietor health care provider with primary practice located at 2510 S Reserve St , Missoula MT 59801-7546. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Zell, Gregory Gene can be contacted via phone (406) 721-4646.

Contact Information

Primary practice address
2510 S Reserve St Missoula MT 59801-7546
Fax: (406) 721-3859
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT-LIC-474 Montana
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1460 Washington

Profile Details

NPI number 1679534705
LBN Legal business name Zell, Gregory Gene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Jul 21st, 2022 - about 4 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 1679534705 NPPES
Montana MEDICAID 48-3743

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