Grillo, Marshall Salvatore
Grillo, Marshall Salvatore is an individual health care provider with primary practice located at 600 Health Park Blvd Ste G, Grand Blanc MI 48439-2558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Grillo, Marshall Salvatore can be contacted via phone (810) 606-1660.Contact Information
Primary practice address
600 Health Park Blvd Ste G
Grand Blanc MI 48439-2558
Phone: (810) 606-1660
Fax: (810) 606-1655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2205 | Tennessee |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | TP053 | Kentucky |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | OS010217L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0102203257 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5101011025 | Michigan |
Profile Details
| NPI number | 1730114448 |
|---|---|
| LBN Legal business name | Grillo, Marshall Salvatore |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Feb 20th, 2017 - about 7 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 | 1730114448 | NPPES |
| Virginia | MEDICAID | 1730114448 | |
| Virginia | MEDICAID | 0017202200012 | |
| Virginia | Other | 821942 | |
| Virginia | Other | 000000566339 | |
| Virginia | Other | 176254 |
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