Gremillion, Georgia A
Gremillion, Georgia A is an individual health care provider with primary practice located at 408 S Broadview St , Cape Girardeau MO 63703-5725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gremillion, Georgia A can be contacted via phone (573) 332-0808.Contact Information
Primary practice address
408 S Broadview St
Cape Girardeau MO 63703-5725
Phone: (573) 332-0808
Fax: (573) 339-7945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2001028811 | Missouri |
Profile Details
| NPI number | 1487655791 |
|---|---|
| LBN Legal business name | Gremillion, Georgia A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Aug 25th, 2008 - about 17 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 | 1487655791 | NPPES |
| Missouri | Other | P00609537 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 429097215 | RAILROAD MEDICARE |
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