Grover, Jeremy R

Grover, Jeremy R is an sole proprietor health care provider with primary practice located at 2918 W 10Th St , Greeley CO 80634-5457. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Grover, Jeremy R can be contacted via phone (970) 584-2100.

Contact Information

Primary practice address
2918 W 10Th St Greeley CO 80634-5457
Phone: (970) 584-2100
Fax: (970) 584-2101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1625 Colorado

Profile Details

NPI number 1285734038
LBN Legal business name Grover, Jeremy R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Oct 30th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285734038 NPPES
Colorado Other 1625 STATE LISENCE NUMBER
Colorado Other C462078 STATE LISENCE NUMBER

Popular Providers