Grimm, Taylore Marie
Grimm, Taylore Marie is an individual health care provider with primary practice located at 979 E 3Rd St Ste C-520 , Chattanooga TN 37403-2136. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Grimm, Taylore Marie can be contacted via phone (423) 778-5661.Contact Information
Primary practice address
979 E 3Rd St Ste C-520
Chattanooga TN 37403-2136
Phone: (423) 778-5661
Fax: (423) 778-5664
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 3397 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3397 | Tennessee |
Profile Details
NPI number | 1598276057 |
---|---|
LBN Legal business name | Grimm, Taylore Marie |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2017 |
Last updated | Jun 16th, 2018 - about 6 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 | 1598276057 | NPPES |
Tennessee | Other | 3397 | STATE LICENSE NUMBER |
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