Griscom, Raegan
Griscom, Raegan is an individual health care provider with primary practice located at 1601 Kirkwood Hwy Fl 3 , Wilmington DE 19805-4917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Griscom, Raegan can be contacted via phone (302) 994-5211.Contact Information
Primary practice address
1601 Kirkwood Hwy Fl 3
Wilmington DE 19805-4917
Phone: (302) 994-5211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | LP-0010421 | Delaware |
Profile Details
| NPI number | 1932775004 |
|---|---|
| LBN Legal business name | Griscom, Raegan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2021 |
| Last updated | May 31st, 2021 - about 3 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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