Grillot, Michael B

Grillot, Michael B is an individual health care provider with primary practice located at 1906 Blake Ave , Glenwood Spgs CO 81601-4227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Grillot, Michael B can be contacted via phone (970) 384-7140.

Contact Information

Primary practice address
1906 Blake Ave Glenwood Spgs CO 81601-4227
Phone: (970) 384-7140
Fax: (970) 384-7293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 106801 Missouri
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 54940 Colorado

Profile Details

NPI number 1366423980
LBN Legal business name Grillot, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated May 21st, 2015 - about 9 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 1366423980 NPPES
Arkansas MEDICAID 128583001
Arkansas Other P01085134
Arkansas MEDICAID 1366423980
Arkansas Other 431560263

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