Grimm, Carol Jean

Grimm, Carol Jean is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Grimm, Carol Jean can be contacted via phone (701) 234-4811.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-4811
Fax: (701) 234-6979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 5501 North Dakota

Profile Details

NPI number 1558389106
LBN Legal business name Grimm, Carol Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 19th, 2012 - about 12 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 1558389106 NPPES
Minnesota MEDICAID 680387300
Minnesota MEDICAID 15677

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