Grilliot, Jordan
Grilliot, Jordan is an individual health care provider with primary practice located at 1201 S Clearview Pkwy , Jefferson LA 70121-1015. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Grilliot, Jordan can be contacted via phone (504) 736-4800.Contact Information
Primary practice address
1201 S Clearview Pkwy
Jefferson LA 70121-1015
Phone: (504) 736-4800
Fax: (504) 736-4810
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 330890 | Louisiana |
Profile Details
NPI number | 1366979007 |
---|---|
LBN Legal business name | Grilliot, Jordan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2017 |
Last updated | Aug 22nd, 2022 - about 3 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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