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
Fax: (606) 864-0259
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801842653 NPPES
Tennessee MEDICAID 3319534
Tennessee MEDICAID 64022692

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