Gregory Allen Waters in Stockton - Student In An Organized Health Care Education/training Program
Gregory Allen Waters - NPI 1902029960
Gregory Allen Waters is a Student In An Organized Health Care Education/training Program in Stockton, California. Gregory Allen Waters practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Gregory Allen Waters is 1902029960. The last update date is 2007-07-08.
Gregory Allen Waters's current location address is 3601 Pacific Ave, Stockton, California. You can contact this provider via phone number 2099462132. The mailing address for Gregory Allen Waters is 3601 Pacific Ave, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Allen Waters |
|---|---|
| Address | 3601 Pacific Ave, Stockton, California |
| Phone Number | 2099462132 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902029960 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3601 Pacific Ave |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952110110 |
| Phone Number | 2099462132 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
|
Post Comment/ Review Below
What is the Gregory Allen Waters's 1902029960?
The Gregory Allen Waters's NPI (National Provider Identifier) Number is 1902029960. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gregory Allen Waters?
The Gregory Allen Waters is situated at 3601 Pacific Ave, in the city of Stockton, state of CA, with the zip code 952110110.
What is Gregory Allen Waters's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory Allen Waters is Student In An Organized Health Care Education/training Program, and the taxonomy classification code that categorizes this area of expertise is 390200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902029960 to Gregory Allen Waters?
The Gregory Allen Waters received its 1902029960 assignment from the Centers for Medicare & Medicaid Services on 2007-04-10.
As of what date was the information pertaining to Gregory Allen Waters, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory Allen Waters, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.