Grimm, Paul Jeffrey

Grimm, Paul Jeffrey is an individual health care provider with primary practice located at 4055 Valley View Ln , Dallas TX 75244-5074. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Grimm, Paul Jeffrey can be contacted via phone (855) 984-5121.

Contact Information

Primary practice address
4055 Valley View Ln Dallas TX 75244-5074
Phone: (855) 984-5121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 059916 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200000810 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200000810 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 200000810 North Carolina

Profile Details

NPI number 1609841444
LBN Legal business name Grimm, Paul Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 20th, 2023 - about last year

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 1609841444 NPPES
Georgia MEDICAID 003174806A
Georgia Other 1278M
Georgia Other 202I086108
Georgia MEDICAID 7906805

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