Grimball, Edward Allan

Grimball, Edward Allan is an individual health care provider with primary practice located at 402 Bogle St Ste 3, Somerset KY 42503-2870. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grimball, Edward Allan can be contacted via phone (606) 451-9953.

Contact Information

Primary practice address
402 Bogle St Ste 3 Somerset KY 42503-2870
Phone: (606) 451-9953
Fax: (606) 451-1533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29702 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29702 Kentucky

Profile Details

NPI number 1144211541
LBN Legal business name Grimball, Edward Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 9th, 2015 - 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 1144211541 NPPES
Kentucky Other 000000075035 ANTHEM
Kentucky Other 5169150 ANTHEM
Kentucky Other 37J8 ANTHEM
Kentucky Other 1101698818 ANTHEM
Kentucky Other 1181211 ANTHEM
Kentucky Other 611350780 ANTHEM
Kentucky Other 04-906 ANTHEM
Kentucky MEDICAID 64297021 ANTHEM

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