Grim, Clarence E.
Grim, Clarence E. is an sole proprietor health care provider with primary practice located at 1180 N Town Center Dr Ste 100 , Las Vegas NV 89144-6308. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Grim, Clarence E. can be contacted via phone (414) 916-0841.Contact Information
Primary practice address
1180 N Town Center Dr Ste 100
Las Vegas NV 89144-6308
Phone: (414) 916-0841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 36279 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36279 | Wisconsin |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 14040 | Nevada |
Profile Details
| NPI number | 1760404768 |
|---|---|
| LBN Legal business name | Grim, Clarence E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 10th, 2020 - about 4 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 | 1760404768 | NPPES |
| Wisconsin | MEDICAID | 32093400 |
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