Bennett Grube, Jennifer Lynn

Bennett Grube, Jennifer Lynn is an individual health care provider with primary practice located at 600 W Ridge Rd , Wytheville VA 24382-1044. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Bennett Grube, Jennifer Lynn can be contacted via phone (276) 625-8828.

Contact Information

Primary practice address
600 W Ridge Rd Wytheville VA 24382-1044
Phone: (276) 625-8828
Fax: (276) 228-1776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101226165 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101226165 Virginia

Profile Details

NPI number 1427006444
LBN Legal business name Bennett Grube, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427006444 NPPES
Kentucky MEDICAID 7100047940
Kentucky MEDICAID 1427006444

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