Grinberg, Yakov P

Grinberg, Yakov P is an individual health care provider with primary practice located at 2007 152Nd Ave Ne , Redmond WA 98052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grinberg, Yakov P can be contacted via phone (425) 453-6838.

Contact Information

Primary practice address
2007 152Nd Ave Ne Redmond WA 98052
Fax: (425) 456-0106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00034469 Washington

Profile Details

NPI number 1417922048
LBN Legal business name Grinberg, Yakov P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417922048 NPPES
Washington MEDICAID 8212011

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