Grentz, Werner
Grentz, Werner is an sole proprietor health care provider with primary practice located at 106 Nami Plz Ste 2 , London KY 40741-3125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Grentz, Werner can be contacted via phone (606) 864-0254.Contact Information
Primary practice address
106 Nami Plz Ste 2
London KY 40741-3125
Phone: (606) 864-0254
Fax: (606) 864-0259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02269 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02269 | Kentucky |
Profile Details
| NPI number | 1801842653 |
|---|---|
| LBN Legal business name | Grentz, Werner |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Jun 4th, 2009 - about 15 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 | 1801842653 | NPPES |
| Tennessee | MEDICAID | 3319534 | |
| Tennessee | MEDICAID | 64022692 |
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