Provider Demographics
NPI:1255411369
Name:GREEP, JEFFREY P (HS)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:P
Last Name:GREEP
Suffix:
Gender:M
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13431 TOM GASTON RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-8663
Mailing Address - Country:US
Mailing Address - Phone:251-441-6240
Mailing Address - Fax:
Practice Address - Street 1:US COAST GUARD SECTOR
Practice Address - Street 2:SOUTH BROAD ST
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36615
Practice Address - Country:US
Practice Address - Phone:251-441-6340
Practice Address - Fax:251-441-5498
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other