Grenfell, Raymond Frederic
Grenfell, Raymond Frederic is an individual health care provider with primary practice located at 971 Lakeland Dr St. Dominic West Tower Suite 450, Jackson MS 39216-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Grenfell, Raymond Frederic can be contacted via phone (601) 948-5158.Contact Information
Primary practice address
971 Lakeland Dr St. Dominic West Tower Suite 450
Jackson MS 39216-4643
Phone: (601) 948-5158
Fax: (601) 326-4265
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 21031 | Mississippi |
Profile Details
NPI number | 1780899922 |
---|---|
LBN Legal business name | Grenfell, Raymond Frederic |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2007 |
Last updated | May 11th, 2023 - about last year |
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 | 1780899922 | NPPES |
Mississippi | Other | 1780902155 | GROUP NPI NUMBER |
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