Grimsrud, Jacie

Grimsrud, Jacie is an individual health care provider with primary practice located at 140 Academy St , Presque Isle ME 04769-3102. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Grimsrud, Jacie can be contacted via phone (207) 768-4865.

Contact Information

Primary practice address
140 Academy St Presque Isle ME 04769-3102
Phone: (207) 768-4865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1699445718
LBN Legal business name Grimsrud, Jacie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2021
Last updated Aug 23rd, 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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