Griffin, Georgia

Griffin, Georgia is an individual health care provider with primary practice located at 1030 Harrington Blvd. Ste. 206, Mt. Clemens MI 48043-2967. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Griffin, Georgia can be contacted via phone (586) 493-3260.

Contact Information

Primary practice address
1030 Harrington Blvd. Ste. 206 Mt. Clemens MI 48043-2967
Phone: (586) 493-3260
Fax: (586) 493-3265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 5101016677 Michigan

Profile Details

NPI number 1720037708
LBN Legal business name Griffin, Georgia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720037708 NPPES
Michigan MEDICAID 4805484

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