Grimm, Roger D

Grimm, Roger D is an individual health care provider with primary practice located at 3813 S. Madison St. , Muncie IN 47302. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Grimm, Roger D can be contacted via phone (765) 751-3362.

Contact Information

Primary practice address
3813 S. Madison St. Muncie IN 47302
Phone: (765) 751-3362
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36000488A Indiana

Profile Details

NPI number 1255369013
LBN Legal business name Grimm, Roger D
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 18 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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