Grider, Jamie

Grider, Jamie is an individual health care provider with primary practice located at 110 Hardin Ln , Somerset KY 42503-3818. 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. Grider, Jamie can be contacted via phone (606) 678-3288.

Contact Information

Primary practice address
110 Hardin Ln Somerset KY 42503-3818
Phone: (606) 678-3288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3359A Kentucky

Profile Details

NPI number 1467444174
LBN Legal business name Grider, Jamie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 19 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 1467444174 NPPES
Kentucky MEDICAID 74005554

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