Gregg, Jared

Gregg, Jared is an individual health care provider with primary practice located at 205 Marengo St , Florence AL 35630-6033. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gregg, Jared can be contacted via phone (256) 768-9191.

Contact Information

Primary practice address
205 Marengo St Florence AL 35630-6033
Phone: (256) 768-9191
Fax: (256) 768-9775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704294701 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-167508 Alabama

Profile Details

NPI number 1003153180
LBN Legal business name Gregg, Jared
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2013
Last updated Apr 17th, 2018 - about 8 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 1003153180 NPPES
Michigan Other 4704294701 MICHIGAN LICENSE

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