Griesemer, Julia E

Griesemer, Julia E is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Griesemer, Julia E can be contacted via phone (417) 820-8364.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-8364
Fax: (417) 820-7136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 106903 Missouri

Profile Details

NPI number 1033252945
LBN Legal business name Griesemer, Julia E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 2nd, 2013 - about 13 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 1033252945 NPPES
Missouri Other 13884 MO BLUE SHIELD
Missouri Other 81698 MO BLUE SHIELD
Missouri MEDICAID 1033252945 MO BLUE SHIELD
Missouri MEDICAID 126001001 MO BLUE SHIELD

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