Griffin, Jeannine L.

Griffin, Jeannine L. is an individual health care provider with primary practice located at 1200 North Virginia , Port Lavaca TX 77979. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Griffin, Jeannine L. can be contacted via phone (361) 552-6721.

Contact Information

Primary practice address
1200 North Virginia Port Lavaca TX 77979
Phone: (361) 552-6721
Fax: (361) 552-7463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G5119 Texas

Profile Details

NPI number 1700812724
LBN Legal business name Griffin, Jeannine L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 22nd, 2014 - about 12 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 1700812724 NPPES
Texas Other 113513502 GROUP MEDICAID NUMBER
Texas MEDICAID 118203202 GROUP MEDICAID NUMBER
Texas Other ZOO0H160 GROUP MEDICAID NUMBER

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