Provider Demographics
NPI:1669817185
Name:JENNIFER GREER MD LLC
Entity Type:Organization
Organization Name:JENNIFER GREER MD LLC
Other - Org Name:GREER PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-974-8577
Mailing Address - Street 1:6990 LINDSAY DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4981
Mailing Address - Country:US
Mailing Address - Phone:440-974-8577
Mailing Address - Fax:440-974-2961
Practice Address - Street 1:6990 LINDSAY DR
Practice Address - Street 2:SUITE 5
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4981
Practice Address - Country:US
Practice Address - Phone:440-974-8577
Practice Address - Fax:440-974-2961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350991572086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1285838664OtherPERSONAL NPI