Grimm, Nicholas P

Grimm, Nicholas P is an individual health care provider with primary practice located at 3515 Murray St , Marinette WI 54143-3367. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Grimm, Nicholas P can be contacted via phone (715) 732-0699.

Contact Information

Primary practice address
3515 Murray St Marinette WI 54143-3367
Phone: (715) 732-0699
Fax: (715) 732-3522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2166-023 Wisconsin

Profile Details

NPI number 1104023381
LBN Legal business name Grimm, Nicholas P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Mar 7th, 2023 - about 2 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 1104023381 NPPES
Wisconsin Other 2166-023 STATE LICENSE

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