Gruner, Jeffrey Scott

Gruner, Jeffrey Scott is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 102 , Baton Rouge LA 70808-4363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gruner, Jeffrey Scott can be contacted via phone (225) 765-2048.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste 102 Baton Rouge LA 70808-4363
Phone: (225) 765-2048
Fax: (225) 765-1958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 023672 Louisiana

Profile Details

NPI number 1073515862
LBN Legal business name Gruner, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Feb 11th, 2021 - about 3 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 1073515862 NPPES
Louisiana MEDICAID 1486795
Louisiana Other 7194459
Louisiana Other P00012293
Louisiana Other 1700784
Louisiana Other DA0978
Louisiana Other 900070463GR
Louisiana Other 195344

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