Grimm, Ruby Ann
Grimm, Ruby Ann is an sole proprietor health care provider with primary practice located at 738 Bryant St , Statesville NC 28677-4189. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Grimm, Ruby Ann can be contacted via phone (704) 873-2219.Contact Information
Primary practice address
738 Bryant St
Statesville NC 28677-4189
Phone: (704) 873-2219
Fax: (704) 873-1379
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Legal Medicine | 173000000X | 21472 | North Carolina |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 21472 | North Carolina |
Profile Details
NPI number | 1154312841 |
---|---|
LBN Legal business name | Grimm, Ruby Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 2nd, 2005 |
Last updated | Feb 8th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154312841 | NPPES |
North Carolina | MEDICAID | 8937657 |
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