Griffin, Basil Manly
Griffin, Basil Manly is an sole proprietor health care provider with primary practice located at 23 E. Crawford Ave. , Deer Park WA 99006-5024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Griffin, Basil Manly can be contacted via phone (509) 276-2554.Contact Information
Primary practice address
23 E. Crawford Ave.
Deer Park WA 99006-5024
Phone: (509) 276-2554
Fax: (509) 276-2564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22640 | South Carolina |
Profile Details
| NPI number | 1245206358 |
|---|---|
| LBN Legal business name | Griffin, Basil Manly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Aug 17th, 2011 - about 14 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 | 1245206358 | NPPES |
| Washington | MEDICAID | 1245206358 |
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