Grills, Jeffrey Dale

Grills, Jeffrey Dale is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grills, Jeffrey Dale can be contacted via phone (479) 725-6977.

Contact Information

Primary practice address
2601 Gene George Blvd Springdale AR 72762
Phone: (479) 725-6977
Fax: (479) 725-6577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 112085 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E10930 Arkansas

Profile Details

NPI number 1063449049
LBN Legal business name Grills, Jeffrey Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063449049 NPPES
Oklahoma MEDICAID 100250370B
Oklahoma Other 107500
Oklahoma MEDICAID 208684605
Oklahoma MEDICAID 100289710A
Oklahoma MEDICAID 224757001

Popular Providers