National Provider Identifier Database

GREGORY S DEACON, CP – NPI #1639365273
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

GREGORY S DEACON, CP
315 HOSPITAL DR
SUITE 104
MARTINSVILLE, VA24112-1945
Phone: 276-634-5690
Fax: 276-634-5691
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for GREGORY S DEACON

NPI Number 1639365273
Credentials CP
Entity Individual
Enumeration date 09/18/2007
Last updated 05/14/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NC Medicaid: 7795211
Hospital affiliation n/a

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.

Reviews for GREGORY S DEACON, CP

There are currently no reviews for GREGORY S DEACON, CP


NPIdb - Home
v2.201