Griffith, Carolyn Sue

Griffith, Carolyn Sue is an individual health care provider with primary practice located at 220 S Palisade Dr #104, Santa Maria CA 93454-8902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Griffith, Carolyn Sue can be contacted via phone (805) 739-8710.

Contact Information

Primary practice address
220 S Palisade Dr #104 Santa Maria CA 93454-8902
Fax: (805) 739-8711
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G71324 California

Profile Details

NPI number 1720009269
LBN Legal business name Griffith, Carolyn Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 9th, 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 1720009269 NPPES
California Other G71324 MED LICENSE
California MEDICAID 00G713240 MED LICENSE

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