Grimm, David B

Grimm, David B is an individual health care provider with primary practice located at 500 Burlington Rd , Jackson OH 45640-9360. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grimm, David B can be contacted via phone (855) 446-5937.

Contact Information

Primary practice address
500 Burlington Rd Jackson OH 45640-9360
Phone: (855) 446-5937
Fax: (740) 395-8519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 42699 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.01721-NA Ohio

Profile Details

NPI number 1003906421
LBN Legal business name Grimm, David B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Nov 15th, 2023 - about last year

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 1003906421 NPPES
Ohio MEDICAID 0752074
Ohio MEDICAID 0065977000

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