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JOHN B GREGORY, DPM – NPI #1952312183
Surgery, Foot & Ankle

NPI Profile for JOHN B GREGORY in LEBANON, NH.

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Contact Information

JOHN B GREGORY, DPM
127 MASCOMA ST
LEBANON, NH  03766-2661
 Phone: 603-443-9572
 Fax: 603-443-9521
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
 

Podiatrist

 213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOHN B GREGORY · (Male)

NPI Number 1952312183
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/11/2006
Last updated 04/14/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 0305
  • NH Medicaid 30363594
  • VT Medicaid 1011596
  • Other U71898 HARVARD PILGRIM
  • NH Other 03Y007385NH02 ANTHEM BCBS
  • VT Other 00068170 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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