Grimes, William Reid
Grimes, William Reid is an individual health care provider with primary practice located at 1811 E Bert Kouns Ste 430 , Shreveport LA 71105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Grimes, William Reid can be contacted via phone (318) 424-8373.Contact Information
Primary practice address
1811 E Bert Kouns Ste 430
Shreveport LA 71105
Phone: (318) 424-8373
Fax: (318) 424-6477
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 015952 | Louisiana |
Profile Details
NPI number | 1922041912 |
---|---|
LBN Legal business name | Grimes, William Reid |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Aug 27th, 2018 - about 7 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 | 1922041912 | NPPES |
Texas | MEDICAID | 106411502 | |
Texas | MEDICAID | 1397202 |
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