Grim, Michael Allan
Grim, Michael Allan is an individual health care provider with primary practice located at 921 Ne 13Th St Vamc Audiology #126, Oklahoma City OK 73104-5007. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Grim, Michael Allan can be contacted via phone (405) 270-0501.Contact Information
Primary practice address
921 Ne 13Th St Vamc Audiology #126
Oklahoma City OK 73104-5007
Phone: (405) 270-0501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 266 | Oklahoma |
Profile Details
| NPI number | 1659361665 |
|---|---|
| LBN Legal business name | Grim, Michael Allan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Aug 3rd, 2022 - about 3 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 | 1659361665 | NPPES |
| Oklahoma | MEDICAID | 100666350A | |
| Oklahoma | Other | 736017987108 |
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