Gronemeyer, Pamella S
Gronemeyer, Pamella S is an sole proprietor health care provider with primary practice located at 1270 Mercantile Dr , Highland IL 62249-1256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Gronemeyer, Pamella S can be contacted via phone (618) 651-8097.Contact Information
Primary practice address
1270 Mercantile Dr
Highland IL 62249-1256
Phone: (618) 651-8097
Fax: (618) 651-8097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036062202 | Illinois |
Profile Details
| NPI number | 1942285010 |
|---|---|
| LBN Legal business name | Gronemeyer, Pamella S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Nov 22nd, 2013 - about 11 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 | 1942285010 | NPPES |
| Illinois | MEDICAID | 036062202-2 | |
| Illinois | Other | 1726 | |
| Illinois | Other | 8215239 |
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