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
Fax: (704) 873-1379
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154312841 NPPES
North Carolina MEDICAID 8937657

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