Grondin, Jeffrey
Grondin, Jeffrey is an individual health care provider with primary practice located at 1234 Napier Ave , Saint Joseph MI 49085-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Grondin, Jeffrey can be contacted via phone (269) 982-5864.Contact Information
Primary practice address
1234 Napier Ave
Saint Joseph MI 49085-2112
Phone: (269) 982-5864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 894-L | Mississippi |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25854 | Mississippi |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301506492 | Michigan |
Profile Details
| NPI number | 1942640180 |
|---|---|
| LBN Legal business name | Grondin, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2013 |
| Last updated | Aug 14th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942640180 | NPPES |
| Mississippi | MEDICAID | 01787000 |
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