Grim, Virginia S

Grim, Virginia S is an individual health care provider with primary practice located at 114 S Laurel St , Kutztown PA 19530-1509. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Grim, Virginia S can be contacted via phone (610) 683-6108.

Contact Information

Primary practice address
114 S Laurel St Kutztown PA 19530-1509
Phone: (610) 683-6108
Fax: (610) 683-6108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT000006 L Pennsylvania
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AT000006L Pennsylvania

Profile Details

NPI number 1407848773
LBN Legal business name Grim, Virginia S
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 9th, 2007 - about 17 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 1407848773 NPPES
Pennsylvania MEDICAID 1503917

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