Grorud, Jane A
Grorud, Jane A is an individual health care provider with primary practice located at 1213 15Th Ave W , Williston ND 58801-3800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grorud, Jane A can be contacted via phone (701) 572-7651.Contact Information
Primary practice address
1213 15Th Ave W
Williston ND 58801-3800
Phone: (701) 572-7651
Fax: (701) 774-7479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5994 | North Dakota |
Profile Details
| NPI number | 1386664696 |
|---|---|
| LBN Legal business name | Grorud, Jane A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Dec 20th, 2012 - about 13 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 | 1386664696 | NPPES |
| North Dakota | MEDICAID | 16461 |
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