Grassmann, Jeffrey L

Grassmann, Jeffrey L is an individual health care provider with primary practice located at 100 Foden Rd, East Suite 203, South Portland ME 04106-2327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grassmann, Jeffrey L can be contacted via phone (207) 874-1489.

Contact Information

Primary practice address
100 Foden Rd, East Suite 203 South Portland ME 04106-2327
Phone: (207) 874-1489
Fax: (207) 523-8590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2147 Maine

Profile Details

NPI number 1750580486
LBN Legal business name Grassmann, Jeffrey L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated May 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750580486 NPPES
Maine MEDICAID 1750580486

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