Gregoloff, Janine L

Gregoloff, Janine L is an individual health care provider with primary practice located at 124 Welton Way , Mooresville NC 28117-9163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gregoloff, Janine L can be contacted via phone (704) 658-1050.

Contact Information

Primary practice address
124 Welton Way Mooresville NC 28117-9163
Phone: (704) 658-1050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00065 North Carolina

Profile Details

NPI number 1356363485
LBN Legal business name Gregoloff, Janine L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 31st, 2021 - about 3 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 1356363485 NPPES
North Carolina Other 0397730029 NSC #

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