Provider Demographics
NPI:1992990642
Name:GREEAR, JOHN ALLEN (CRT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ALLEN
Last Name:GREEAR
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:ME
Mailing Address - Zip Code:04263-0066
Mailing Address - Country:US
Mailing Address - Phone:207-240-0994
Mailing Address - Fax:
Practice Address - Street 1:852 RIVER RD
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:ME
Practice Address - Zip Code:04263-3130
Practice Address - Country:US
Practice Address - Phone:207-240-0994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified