Jeremy R Grover is a Medical in Greeley, Colorado. Jeremy R Grover practices all healthcare services and medical treatments related to Medical. The NPI Number for Jeremy R Grover is 1285734038. The last update date is 2012-10-30.
Jeremy R Grover's current location address is 2918 W 10th St, Greeley, Colorado. You can contact this provider via phone number 9705842100 and fax number 9705842101. The mailing address for Jeremy R Grover is 2918 W 10th St, Greeley, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeremy R Grover |
---|---|
Address | 2918 W 10th St, Greeley, Colorado |
Phone Number | 9705842100 |
Fax Number | 9705842101 |
Sole Proprietor | Y |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1285734038 |
---|---|
Provider Enumeration Date | 2006-09-22 |
Last Updated Date | 2012-10-30 |
Provider Mailing Address Detail
Address | 2918 W 10th St |
---|---|
City | Greeley |
State | Colorado (CO) |
Post Code | 806345457 |
Phone Number | 9705842100 |
Fax Number | 9705842101 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
---|---|
Taxonomy | 363Am0700X |
Licence No | 1625 |
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 |
---|---|---|---|
1625 | CO | STATE LISENCE NUMBER | |
C462078 | CO | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeremy R Grover by the Centers for Medicare & Medicaid Services?
The Jeremy R Grover has been assigned the NPI (National Provider Identifier) 1285734038 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jeremy R Grover is geographically located?
The Jeremy R Grover is physically situated at the following location: 2918 W 10Th St, Greeley, CO, 806345457.
What is Jeremy R Grover's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeremy R Grover is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did Jeremy R Grover receive its 1285734038 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy R Grover was assigned its 1285734038 on 2006-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jeremy R Grover most recently updated or revised?
The information pertaining to Jeremy R Grover, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-30.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN