Gruer, Jacquelyn

Gruer, Jacquelyn is an individual health care provider with primary practice located at 4244 Hamilton Ave , Cincinnati OH 45223-2048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gruer, Jacquelyn can be contacted via phone (513) 681-4900.

Contact Information

Primary practice address
4244 Hamilton Ave Cincinnati OH 45223-2048
Phone: (513) 681-4900
Fax: (513) 853-8432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN-187380/NM01412 Ohio

Profile Details

NPI number 1457352585
LBN Legal business name Gruer, Jacquelyn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 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 1457352585 NPPES
Ohio Other 201488810028 CARESOURCE
Ohio MEDICAID 0629789 CARESOURCE
Ohio Other 109026341696 CARESOURCE

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