Grimm, Patrick J
Grimm, Patrick J is an sole proprietor health care provider with primary practice located at 1200 Westwood Dr , Hamilton MT 59840-2345. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Grimm, Patrick J can be contacted via phone (406) 363-0597.Contact Information
Primary practice address
1200 Westwood Dr
Hamilton MT 59840-2345
Phone: (406) 363-0597
Fax: (406) 375-4858
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 468 | Montana |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 468 | Montana |
Profile Details
NPI number | 1154318574 |
---|---|
LBN Legal business name | Grimm, Patrick J |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 30th, 2005 |
Last updated | Nov 5th, 2015 - about 9 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 | 1154318574 | NPPES |
Idaho | MEDICAID | 1154318574 | |
Idaho | MEDICAID | 1154318574 |
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