Grigsby, Charles Kevin

Grigsby, Charles Kevin is an individual health care provider with primary practice located at 825 Fairfax Ave Ste 610 , Norfolk VA 23507-1912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Grigsby, Charles Kevin can be contacted via phone (757) 446-8960.

Contact Information

Primary practice address
825 Fairfax Ave Ste 610 Norfolk VA 23507-1912
Phone: (757) 446-8960
Fax: (757) 446-5197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 0101265120 Virginia

Profile Details

NPI number 1114366028
LBN Legal business name Grigsby, Charles Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Jul 18th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114366028 NPPES
Tennessee MEDICAID Q075195

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