Gregory Lee Ware I
Peer Specialist in Detroit, MI. Individual provider (NPI-1).
NPI number1114432127
StatusActive
Last updated in NPPESDec 13, 2017
Details
- NPI
- 1114432127
- Entity type
- Individual (NPI-1)
- Name
- Gregory Lee Ware I
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2017
- Last updated
- Dec 13, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | MI | Yes |
Practice location
1600 Porter StDetroit, MI 48216-1936
Phone 313-963-6601
Mailing address
1600 Porter StDetroit, MI 48216-1936
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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