Grev, Jacquelyn E.

Grev, Jacquelyn E. is an individual health care provider with primary practice located at 1600 W 22Nd St , Sioux Falls SD 57105. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Grev, Jacquelyn E. can be contacted via phone (605) 312-1000.

Contact Information

Primary practice address
1600 W 22Nd St Sioux Falls SD 57105
Phone: (605) 312-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042.0013120 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56560 Minnesota
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 10846 South Dakota

Profile Details

NPI number 1194088963
LBN Legal business name Grev, Jacquelyn E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Jul 17th, 2018 - about 6 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 1194088963 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED

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