Jeffrey W Grolig M D Inc

LBN: Jeffrey W Grolig M D Inc
Jeffrey W Grolig M D Inc is an health care organization with primary practice located at 5000 Bechelli Ln Suite 102, Redding CA 96002-3553. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Jeffrey W Grolig M D Inc can be contacted via phone (530) 221-2520, or through Grolig, Jeffrey Wendall via phone (530) 221-2520.

Contact Information

Primary practice address
5000 Bechelli Ln Suite 102 Redding CA 96002-3553
Fax: (530) 223-2899
Website:
Authorized official contact:
Name: Grolig, Jeffrey Wendall Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1942489117
LBN Legal business name Jeffrey W Grolig M D Inc
DBA Doing business as
Authorized official Grolig, Jeffrey Wendall Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 24th, 2007
Last updated Apr 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942489117 NPPES
California MEDICAID 00C414610
California Other 171374100
California Other 41461

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