Grebenc, Jennifer L

Grebenc, Jennifer L is an sole proprietor health care provider with primary practice located at 6284 Foxwood Ct , Mentor OH 44060-2113. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is her primary health care specialty. Grebenc, Jennifer L can be contacted via phone (440) 665-8853.

Contact Information

Primary practice address
6284 Foxwood Ct Mentor OH 44060-2113
Phone: (440) 665-8853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD 3060 Ohio
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1235192121
LBN Legal business name Grebenc, Jennifer L
Credentials RDN LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Nov 12th, 2020 - about 4 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 1235192121 NPPES
Ohio MEDICAID 4303828

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