Grijalva, Maynor Antonio

Grijalva, Maynor Antonio is an individual health care provider with primary practice located at 1000 Western Ave , Lynn MA 01905-2655. 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. Grijalva, Maynor Antonio can be contacted via phone (978) 880-5178.

Contact Information

Primary practice address
1000 Western Ave Lynn MA 01905-2655
Phone: (978) 880-5178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 3877 Massachusetts

Profile Details

NPI number 1659038495
LBN Legal business name Grijalva, Maynor Antonio
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2021
Last updated Apr 4th, 2024 - about 8 months 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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