Greiner, Jordan Lea

Greiner, Jordan Lea is an individual health care provider with primary practice located at 2605 Washington St Iowa Dermatology Inc, Pella IA 50219-7924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Greiner, Jordan Lea can be contacted via phone (641) 620-9119.

Contact Information

Primary practice address
2605 Washington St Iowa Dermatology Inc Pella IA 50219-7924
Phone: (641) 620-9119
Fax: (641) 613-1305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1962885707
LBN Legal business name Greiner, Jordan Lea
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Aug 10th, 2015 - about 11 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 1962885707 NPPES
Iowa Other 1127557 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

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