Grinstead, Joe Dale

Grinstead, Joe Dale is an individual health care provider with primary practice located at 5 Westowne St Ste 501, Liberty MO 64068-3512. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Grinstead, Joe Dale can be contacted via phone (816) 781-2110.

Contact Information

Primary practice address
5 Westowne St Ste 501 Liberty MO 64068-3512
Phone: (816) 781-2110
Fax: (816) 781-2312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 01252 Missouri

Profile Details

NPI number 1073666178
LBN Legal business name Grinstead, Joe Dale
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jan 5th, 2012 - about 13 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 1073666178 NPPES
Missouri Other 13485026 BLUE CROSS BLUE SHIELD

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