Provider Demographics
NPI:1497092019
Name:SLEPECKI, GREGORY ALAN
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:ALAN
Last Name:SLEPECKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 VISTA PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-1214
Mailing Address - Country:US
Mailing Address - Phone:412-787-7981
Mailing Address - Fax:412-787-7983
Practice Address - Street 1:770 VISTA PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1214
Practice Address - Country:US
Practice Address - Phone:412-787-7981
Practice Address - Fax:412-787-7983
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA096962171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications