Grillo, Marshall Salvatore
Grillo, Marshall Salvatore is an sole proprietor health care provider with primary practice located at 5239 Grove Mnr , Lady Lake FL 32159-3527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Grillo, Marshall Salvatore can be contacted via phone (352) 753-7591.Contact Information
Primary practice address
5239 Grove Mnr
Lady Lake FL 32159-3527
Phone: (352) 753-7591
Fax: (352) 753-7591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 5101005492 | Michigan |
Profile Details
| NPI number | 1245331768 |
|---|---|
| LBN Legal business name | Grillo, Marshall Salvatore |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245331768 | NPPES |
| Michigan | MEDICAID | 11137932410267 |
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