Greider, Jack Leeland
Greider, Jack Leeland is an sole proprietor health care provider with primary practice located at 6100 Kennerly Rd Suite 202, Jacksonville FL 32216-4368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Greider, Jack Leeland can be contacted via phone (904) 733-5550.Contact Information
Primary practice address
6100 Kennerly Rd Suite 202
Jacksonville FL 32216-4368
Phone: (904) 733-5550
Fax: (904) 733-5515
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | ME27693 | Florida |
Profile Details
NPI number | 1316038615 |
---|---|
LBN Legal business name | Greider, Jack Leeland |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 28th, 2006 |
Last updated | Oct 25th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316038615 | NPPES |
Florida | MEDICAID | 37943300 |
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