Grim, Donald Keith

Grim, Donald Keith is an individual health care provider with primary practice located at 605 E Holland Ave Suite 200, Spokane WA 99218-2225. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Grim, Donald Keith can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
605 E Holland Ave Suite 200 Spokane WA 99218-2225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO00000213 Washington
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X P 90 Idaho

Profile Details

NPI number 1538143698
LBN Legal business name Grim, Donald Keith
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Dec 12th, 2011 - about 13 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 1538143698 NPPES
Washington Other 8869611 MEDICARE PTAN GROUP
Washington MEDICAID 1071505 MEDICARE PTAN GROUP
Washington Other 000300588 MEDICARE PTAN GROUP
Washington Other E11326 MEDICARE PTAN GROUP
Washington Other GRIMD1132659504 MEDICARE PTAN GROUP
Washington Other 480661077 MEDICARE PTAN GROUP

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