Grimme, John D

Grimme, John D is an individual health care provider with primary practice located at 4001 Prince William Pkwy Ste 302 , Woodbridge VA 22192-7667. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grimme, John D can be contacted via phone (703) 494-3309.

Contact Information

Primary practice address
4001 Prince William Pkwy Ste 302 Woodbridge VA 22192-7667
Phone: (703) 494-3309
Fax: (703) 321-3300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 0101255768 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25740 West Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD25664 Oregon

Profile Details

NPI number 1093751224
LBN Legal business name Grimme, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jun 10th, 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 1093751224 NPPES
Virginia MEDICAID 1093751224
Virginia MEDICAID 8425142
Virginia MEDICAID 213369
Virginia MEDICAID 475804801
Virginia MEDICAID MD1459R
Virginia MEDICAID 1093751224
Virginia MEDICAID MD3449R

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