Grimm, Mark H.
Grimm, Mark H. is an individual health care provider with primary practice located at 3231 S National Ave , Springfield MO 65807-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Grimm, Mark H. can be contacted via phone (417) 888-5696.Contact Information
Primary practice address
3231 S National Ave
Springfield MO 65807-7304
Phone: (417) 888-5696
Fax: (417) 888-6711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 103150 | Missouri |
Profile Details
| NPI number | 1003967696 |
|---|---|
| LBN Legal business name | Grimm, Mark H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | May 13th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003967696 | NPPES |
| Missouri | MEDICAID | 206653412 |
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