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Individual

GREGORY THOMAS SANKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
OS00000012
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
344581001
GROUP HEALTH COOP
WA
01
37189
LABOR & INDUSTRY PROVIDER
WA
01
8917595
CRIME VICTIMS
WA
05
9033929
WA
01
911508025
FEDERAL TAX ID#
WA
01
CU0117
REGENCE PROVIDER #
WA
05
PO4547
AK
01
PO45471
ALASKA MEDICAID #
AK
Enumeration date
08/29/2006
Last updated
10/16/2012
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