Griffeth, Michael Todd
Griffeth, Michael Todd is an sole proprietor health care provider with primary practice located at 2376 N 400 E Ste 101 , Tooele UT 84074-3413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Griffeth, Michael Todd can be contacted via phone (435) 843-8333.Contact Information
Primary practice address
2376 N 400 E Ste 101
Tooele UT 84074-3413
Phone: (435) 843-8333
Fax: (435) 843-8334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 3089527-1205 | Utah |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M-8844 | Idaho |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 3089527-1205 | Utah |
Profile Details
| NPI number | 1891799839 |
|---|---|
| LBN Legal business name | Griffeth, Michael Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Mar 9th, 2017 - about 8 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 | 1891799839 | NPPES |
| Idaho | Other | 000010145834 | BLUE SHIELD |
| Idaho | MEDICAID | 1477588044 | BLUE SHIELD |
| Idaho | Other | 806715901 | BLUE SHIELD |
| Idaho | Other | 268347 | BLUE SHIELD |
| Idaho | Other | 53583 | BLUE SHIELD |
| Idaho | Other | 107002804102 | BLUE SHIELD |
| Idaho | Other | P00402102 | BLUE SHIELD |
| Idaho | Other | 1818481 | BLUE SHIELD |
| Idaho | Other | 1114281 | BLUE SHIELD |
| Idaho | Other | QMP000003333246 | BLUE SHIELD |
| Idaho | Other | 1477588044 | BLUE SHIELD |
| Idaho | Other | 203908830MJG | BLUE SHIELD |
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