Jennifer L Grossman in Shakopee - Medical
Jennifer L Grossman - NPI 1770641227
Jennifer L Grossman is a Medical in Shakopee, Minnesota. Jennifer L Grossman practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer L Grossman is 1770641227. The last update date is 2010-01-18.
Jennifer L Grossman's current location address is 1524 Liberty Cir, Shakopee, Minnesota. You can contact this provider via phone number 6127435210. The mailing address for Jennifer L Grossman is 1524 Liberty Cir, Shakopee, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer L Grossman |
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Address | 1524 Liberty Cir, Shakopee, Minnesota |
Phone Number | 6127435210 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1770641227 |
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Provider Enumeration Date | 2006-12-05 |
Last Updated Date | 2010-01-18 |
Provider Mailing Address Detail
Address | 1524 Liberty Cir |
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City | Shakopee |
State | Minnesota (MN) |
Post Code | 553794545 |
Phone Number | 6127435210 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 10216 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
896493000 | MN | -- |
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What is the unique identification code assigned to Jennifer L Grossman by the Centers for Medicare & Medicaid Services?
The Jennifer L Grossman has been issued the NPI (National Provider Identifier) 1770641227. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jennifer L Grossman is physically located?
The Jennifer L Grossman is physically situated at the following address: 1524 Liberty Cir, Shakopee, MN, 553794545.
What is the Jennifer L Grossman's specialty and taxonomy code?
The Jennifer L Grossman's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770641227 to Jennifer L Grossman?
The Centers for Medicare & Medicaid Services assigned the 1770641227 to Jennifer L Grossman on 2006-12-05.
When was the information regarding Jennifer L Grossman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jennifer L Grossman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-18.
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