Ellman-Grunther, Lisa Kim
Ellman-Grunther, Lisa Kim is an individual health care provider with primary practice located at 115 Broadway Ste 1800, New York NY 10006-1652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Ellman-Grunther, Lisa Kim can be contacted via phone (646) 854-2003.Contact Information
Primary practice address
115 Broadway Ste 1800
New York NY 10006-1652
Phone: (646) 854-2003
Fax: (646) 493-7299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 25MMAO7471600 | New Jersey |
Profile Details
| NPI number | 1336107325 |
|---|---|
| LBN Legal business name | Ellman-Grunther, Lisa Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Apr 9th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336107325 | NPPES |
| New Jersey | MEDICAID | 8970700 |
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