Grubb, Jamie Lynn

Grubb, Jamie Lynn is an sole proprietor health care provider with primary practice located at 1206 Sw Main Blvd Suite 103, Lake City FL 32025-6684. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Grubb, Jamie Lynn can be contacted via phone (386) 719-2500.

Contact Information

Primary practice address
1206 Sw Main Blvd Suite 103 Lake City FL 32025-6684
Phone: (386) 719-2500
Fax: (386) 719-2500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA25483 Florida

Profile Details

NPI number 1669496121
LBN Legal business name Grubb, Jamie Lynn
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669496121 NPPES
Florida Other C8329 BLUE CROSS BLUE SHIELD PR

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