Grimm, Douglas J

Grimm, Douglas J is an individual health care provider with primary practice located at 7700 Cat Hollow Drive Suite 102, Round Rock TX 78681-4068. 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. Grimm, Douglas J can be contacted via phone (512) 733-8600.

Contact Information

Primary practice address
7700 Cat Hollow Drive Suite 102 Round Rock TX 78681-4068
Phone: (512) 733-8600
Fax: (512) 733-8602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1514 Texas

Profile Details

NPI number 1548293491
LBN Legal business name Grimm, Douglas J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated May 27th, 2008 - 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 1548293491 NPPES
Texas Other 8A2740 BLUECROSS/BLUESHIELD
Texas MEDICAID 038430701 BLUECROSS/BLUESHIELD

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