Grigsby, John David

Grigsby, John David is an individual health care provider with primary practice located at 7730 Wolf River Blvd Suite 109, Germantown TN 38138-1708. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Grigsby, John David can be contacted via phone (901) 522-6671.

Contact Information

Primary practice address
7730 Wolf River Blvd Suite 109 Germantown TN 38138-1708
Phone: (901) 522-6671
Fax: (901) 522-6715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6639 Tennessee

Profile Details

NPI number 1265435192
LBN Legal business name Grigsby, John David
Credentials MPT, CERT MDT
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 18th, 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 1265435192 NPPES
Tennessee Other 4042227 BLUE CROSS
Tennessee Other 620819926 BLUE CROSS
Tennessee Other 0723280001 BLUE CROSS
Tennessee Other 7753371 BLUE CROSS

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