Grimes, Gwendolyn
Grimes, Gwendolyn is an sole proprietor health care provider with primary practice located at 303 Gervais Rd , Franklin Furnace OH 45629-8742. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Grimes, Gwendolyn can be contacted via phone (740) 259-7000.Contact Information
Primary practice address
303 Gervais Rd
Franklin Furnace OH 45629-8742
Phone: (740) 259-7000
Fax: (740) 480-5200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Ohio |
Profile Details
| NPI number | 1639927098 |
|---|---|
| LBN Legal business name | Grimes, Gwendolyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2024 |
| Last updated | May 10th, 2024 - about 6 months 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 | 1639927098 | NPPES |
| Ohio | MEDICAID | 1962801548 |
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