Jeremy R Grover in Greeley - Medical

Jeremy R Grover - NPI 1285734038

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

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FAQs about Jeremy R Grover

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.

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