Grinkewitz, Peter Ross

Grinkewitz, Peter Ross is an sole proprietor health care provider with primary practice located at 3640 High St Ste 1D , Portsmouth VA 23707-3213. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Grinkewitz, Peter Ross can be contacted via phone (757) 393-1074.

Contact Information

Primary practice address
3640 High St Ste 1D Portsmouth VA 23707-3213
Phone: (757) 393-1074
Fax: (757) 397-3412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103000751 Virginia

Profile Details

NPI number 1922191394
LBN Legal business name Grinkewitz, Peter Ross
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2006
Last updated Jul 15th, 2008 - about 16 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 1922191394 NPPES
Virginia MEDICAID 009303405

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