Grimm, James

Grimm, James is an sole proprietor health care provider with primary practice located at 1926 Potter St , Eugene OR 97405-3060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Grimm, James can be contacted via phone (541) 221-9007.

Contact Information

Primary practice address
1926 Potter St Eugene OR 97405-3060
Phone: (541) 221-9007
Fax: (888) 541-9007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 19133 Oregon

Profile Details

NPI number 1407929565
LBN Legal business name Grimm, James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Oct 30th, 2009 - about 15 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 1407929565 NPPES
Oregon MEDICAID 130703

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