Grinnell, Timothy D

Grinnell, Timothy D is an individual health care provider with primary practice located at 110 Liberty St , Brockton MA 02301-5521. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Grinnell, Timothy D can be contacted via phone (508) 565-3055.

Contact Information

Primary practice address
110 Liberty St Brockton MA 02301-5521
Phone: (508) 565-3055
Fax: (508) 894-0757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X AP2274 Massachusetts

Profile Details

NPI number 1790828119
LBN Legal business name Grinnell, Timothy D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jun 15th, 2016 - about 9 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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