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
Phone: (406) 721-4646
Fax: (406) 721-3859
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679534705 | NPPES |
| Montana | MEDICAID | 48-3743 |
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