Grinnell, Madison L

Grinnell, Madison L is an sole proprietor health care provider with primary practice located at Lauritzen Outpatient Center 4014 Leavenworth St, Omaha NE 68105. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Grinnell, Madison L can be contacted via phone (800) 922-0000.

Contact Information

Primary practice address
Lauritzen Outpatient Center 4014 Leavenworth St Omaha NE 68105
Phone: (800) 922-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 9334 Nebraska

Profile Details

NPI number 1649939109
LBN Legal business name Grinnell, Madison L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2021
Last updated Jun 23rd, 2023 - 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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