Jennifer Renee Grutzik in Florence - Physician Assistant
Jennifer Renee Grutzik - NPI 1437105442
Jennifer Renee Grutzik is a Physician Assistant in Florence, Alabama. Jennifer Renee Grutzik practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Renee Grutzik is 1437105442. The last update date is 2023-06-19.
Jennifer Renee Grutzik's current location address is 2908 Mall Rd, Florence, Alabama. You can contact this provider via phone number 2567672702 and fax number 2567186047. The mailing address for Jennifer Renee Grutzik is 2908 Mall Rd, Florence, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Renee Grutzik |
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Address | 2908 Mall Rd, Florence, Alabama |
Phone Number | 2567672702 |
Fax Number | 2567186047 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1437105442 |
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Provider Enumeration Date | 2006-05-25 |
Last Updated Date | 2023-06-19 |
Provider Mailing Address Detail
Address | 2908 Mall Rd |
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City | Florence |
State | Alabama (AL) |
Post Code | 356301641 |
Phone Number | 2567672702 |
Fax Number | 2567186047 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA.459 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PA.459 | AL | MEDICAL LICENSE | |
107569 | AL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Renee Grutzik by the Centers for Medicare & Medicaid Services?
The Jennifer Renee Grutzik has been assigned the NPI (National Provider Identifier) 1437105442. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jennifer Renee Grutzik?
The Jennifer Renee Grutzik is physically situated at 2908 Mall Rd, in the city of Florence, state of AL, with the postal code 356301641.
What is Jennifer Renee Grutzik's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer Renee Grutzik's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Jennifer Renee Grutzik receive its 1437105442 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Renee Grutzik was assigned its 1437105442 by the Centers for Medicare & Medicaid Services on 2006-05-25.
When was the information pertaining to Jennifer Renee Grutzik most recently updated or revised?
The details related to Jennifer Renee Grutzik, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-19.