Greider, Jack Leeland

Greider, Jack Leeland is an sole proprietor health care provider with primary practice located at 6100 Kennerly Rd Suite 202, Jacksonville FL 32216-4368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Greider, Jack Leeland can be contacted via phone (904) 733-5550.

Contact Information

Primary practice address
6100 Kennerly Rd Suite 202 Jacksonville FL 32216-4368
Phone: (904) 733-5550
Fax: (904) 733-5515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME27693 Florida

Profile Details

NPI number 1316038615
LBN Legal business name Greider, Jack Leeland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Oct 25th, 2011 - about 15 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 1316038615 NPPES
Florida MEDICAID 37943300

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