Boostrom, Grant Griffin
Boostrom, Grant Griffin is an sole proprietor health care provider with primary practice located at 1898 Fort Rd # 116B , Sheridan WY 82801-8320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boostrom, Grant Griffin can be contacted via phone (307) 675-3834.Contact Information
Primary practice address
1898 Fort Rd # 116B
Sheridan WY 82801-8320
Phone: (307) 675-3834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 801 | Wyoming |
Profile Details
| NPI number | 1023731262 |
|---|---|
| LBN Legal business name | Boostrom, Grant Griffin |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2022 |
| Last updated | Sep 22nd, 2022 - about 3 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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