Grimmett, Mark
Grimmett, Mark is an sole proprietor health care provider with primary practice located at 2145 E Warner Rd Ste 104 , Tempe AZ 85284-3549. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Grimmett, Mark can be contacted via phone (480) 664-9443.Contact Information
Primary practice address
2145 E Warner Rd Ste 104
Tempe AZ 85284-3549
Phone: (480) 664-9443
Fax: (480) 664-9378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7209350001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7047150001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7045160001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7046960001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7629170001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7034950001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7057360001 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6657 | Arizona |
Profile Details
| NPI number | 1184605842 |
|---|---|
| LBN Legal business name | Grimmett, Mark |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Mar 20th, 2018 - about 7 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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