Gregory Hill

Individual provider Active NPI Driver · Wayne, MI

NPI 1295119642 · NPPES record last updated Jul 15, 2015

Key facts

NPI
1295119642
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
H400288275318 (MI)
Practice address
3603 Hannan Rd Apt 207
Wayne, MI 48184-1097
Phone
(614) 617-4588
NPI assigned
Jul 15, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
H400288275318MIMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver
Group: 193400000X SINGLE SPECIALTY GROUP
172A00000X H400288275318 MI Yes

Addresses

Primary practice location

3603 Hannan Rd Apt 207
Wayne, MI 48184-1097

Mailing address

3603 Hannan Rd Apt 207
Wayne, MI 48184-1097

Other providers in Wayne, MI

All providers in Wayne, MI · Driver in Michigan

Sources for this page

Verify at the official NPI Registry.