Grevenstuk, Jillian Carol
Grevenstuk, Jillian Carol is an sole proprietor health care provider with primary practice located at 2639 Haselwood Ln , Round Rock TX 78665-2362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Grevenstuk, Jillian Carol can be contacted via phone (806) 252-5668.Contact Information
Primary practice address
2639 Haselwood Ln
Round Rock TX 78665-2362
Phone: (806) 252-5668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 1058042 | Texas |
Profile Details
| NPI number | 1710646211 |
|---|---|
| LBN Legal business name | Grevenstuk, Jillian Carol |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2021 |
| Last updated | Jan 26th, 2022 - about 2 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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