Grimes, Russell Scott

Grimes, Russell Scott is an individual health care provider with primary practice located at 1005 W Saint Maartens Dr Ste A , Saint Joseph MO 64506-2989. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Grimes, Russell Scott can be contacted via phone (816) 364-2338.

Contact Information

Primary practice address
1005 W Saint Maartens Dr Ste A Saint Joseph MO 64506-2989
Phone: (816) 364-2338
Fax: (816) 364-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2006000709 Missouri

Profile Details

NPI number 1588635361
LBN Legal business name Grimes, Russell Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 17th, 2009 - about 16 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 1588635361 NPPES
Kansas Other 1588635361 BLUE CROSS AND BLUE SHIELD OF KANSAS

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