Griffin, Neil Bostrom
Griffin, Neil Bostrom is an individual health care provider with primary practice located at 900 Medical Cir , Myrtle Beach SC 29572-4114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Griffin, Neil Bostrom can be contacted via phone (843) 449-6414.Contact Information
Primary practice address
900 Medical Cir
Myrtle Beach SC 29572-4114
Phone: (843) 449-6414
Fax: (843) 497-0357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 27314 | South Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 9400509 | North Carolina |
Profile Details
| NPI number | 1285615369 |
|---|---|
| LBN Legal business name | Griffin, Neil Bostrom |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 1st, 2024 - about 2 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 | 1285615369 | NPPES |
| North Carolina | Other | 63789 | MEDCOST |
| North Carolina | MEDICAID | 8937393 | MEDCOST |
| North Carolina | Other | 0838873 | MEDCOST |
| North Carolina | Other | 37393 | MEDCOST |
| North Carolina | Other | FH2000155 | MEDCOST |
| North Carolina | Other | 108820410 | MEDCOST |
| North Carolina | Other | 232473 | MEDCOST |
| North Carolina | MEDICAID | N00509 | MEDCOST |
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