Grimes, Gary Austin
Grimes, Gary Austin is an sole proprietor health care provider with primary practice located at 39749 Makin Ave , Palmdale CA 93551-2940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grimes, Gary Austin can be contacted via phone (661) 267-0777.Contact Information
Primary practice address
39749 Makin Ave
Palmdale CA 93551-2940
Phone: (661) 267-0777
Fax: (661) 267-0905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A45278 | California |
Profile Details
| NPI number | 1922172089 |
|---|---|
| LBN Legal business name | Grimes, Gary Austin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Dec 3rd, 2010 - about 14 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 | 1922172089 | NPPES |
| Other | 756053859 | TRAVELERS CARE |
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