Grillo, Jennifer A
Grillo, Jennifer A is an individual health care provider with primary practice located at 354 Merrimack St , Lawrence MA 01843. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Grillo, Jennifer A can be contacted via phone (978) 687-2321.Contact Information
Primary practice address
354 Merrimack St
Lawrence MA 01843
Phone: (978) 687-2321
Fax: (978) 722-7287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine | 204R00000X | 212808 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 11624 | New Hampshire |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 212808 | Massachusetts |
Profile Details
| NPI number | 1740276658 |
|---|---|
| LBN Legal business name | Grillo, Jennifer A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jun 12th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740276658 | NPPES |
| Massachusetts | Other | 0027070 | NHP |
| Massachusetts | MEDICAID | 0171701 | NHP |
| Massachusetts | Other | 212808 | NHP |
| Massachusetts | Other | 01Y004898MA01 | NHP |
| Massachusetts | Other | 05-00725 | NHP |
| Massachusetts | Other | 111344 | NHP |
| Massachusetts | MEDICAID | 30203394 | NHP |
| Massachusetts | Other | 55519 | NHP |
| Massachusetts | Other | 05-00651 | NHP |
| Massachusetts | Other | 2081539-001 | NHP |
| Massachusetts | Other | 7725353 | NHP |
| Massachusetts | Other | J24976 | NHP |
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