Griffis, Edward
Griffis, Edward is an sole proprietor health care provider with primary practice located at 4100 Gary St , Fort Smith AR 72903-5456. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Griffis, Edward can be contacted via phone (479) 629-3264.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 153 | Arkansas |
Profile Details
| NPI number | 1629497896 |
|---|---|
| LBN Legal business name | Griffis, Edward |
| Credentials | ATC/LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Apr 15th, 2014 - about 10 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 | 1629497896 | NPPES |
| Arkansas | Other | 153 | LIC. ATHLETIC TRAINER |
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