Grim, Keith Case

Grim, Keith Case is an individual health care provider with primary practice located at 1 E New York Avenue , Somers Point NJ 08244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Grim, Keith Case can be contacted via phone (609) 653-3519.

Contact Information

Primary practice address
1 E New York Avenue Somers Point NJ 08244
Phone: (609) 653-3519
Fax: (609) 653-3247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07746000 New Jersey

Profile Details

NPI number 1992766760
LBN Legal business name Grim, Keith Case
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 28th, 2013 - about 11 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 1992766760 NPPES
New Jersey MEDICAID 0061280

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