Grijalva, Galo A

Grijalva, Galo A is an individual health care provider with primary practice located at 207 Foote Ave , Jamestown NY 14701-7077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grijalva, Galo A can be contacted via phone (716) 485-7870.

Contact Information

Primary practice address
207 Foote Ave Jamestown NY 14701-7077
Phone: (716) 485-7870
Fax: (716) 485-7878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-082089 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 39428 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 250606 New York

Profile Details

NPI number 1629157649
LBN Legal business name Grijalva, Galo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 3rd, 2020 - about 5 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 1629157649 NPPES
Ohio MEDICAID 2754087
Ohio MEDICAID 64106693

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