Grenoble, Jonathan B
Grenoble, Jonathan B is an individual health care provider with primary practice located at 20 Elm St , Pittsfield MA 01201-6502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grenoble, Jonathan B can be contacted via phone (413) 442-1019.Contact Information
Primary practice address
20 Elm St
Pittsfield MA 01201-6502
Phone: (413) 442-1019
Fax: (413) 447-8521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 54069 | Massachusetts |
Profile Details
| NPI number | 1205869047 |
|---|---|
| LBN Legal business name | Grenoble, Jonathan B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Aug 3rd, 2010 - 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 | 1205869047 | NPPES |
| Massachusetts | MEDICAID | 3000117 |
Popular Providers
-
Davenport, Robert Carlton
631B North Street , Pittsfield MA 01201-4109 -
Sansky, Michelle Lauren
42 Summer St Ste 301 , Pittsfield MA 01201-4652 -
Heisecke, Jose M
777 North St Ste 407 , Pittsfield MA 01201-4172 -
Bruck, Karen
20 Elm St , Pittsfield MA 01201-6502 -
Kisiel, Stephen Lewis
42 Summer St Suite 301, Pittsfield MA 01201-4624 -
Lee, Robert B
20 Elm St , Pittsfield MA 01201-6502 -
Hetland, Adam Thomas
42 Summer St , Pittsfield MA 01201-4624 -
Kirby, Craig R
20 Elm St Family Practice Assoc., Pittsfield MA 01201-6502