Grise, David

Grise, David is an individual health care provider with primary practice located at 27 Sycamore St Ste 100, Prime Healthcare, Glastonbury CT 06033-2223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Grise, David can be contacted via phone (860) 659-0581.

Contact Information

Primary practice address
27 Sycamore St Ste 100, Prime Healthcare Glastonbury CT 06033-2223
Fax: (860) 652-3077
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017362 Connecticut
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 017362 Connecticut

Profile Details

NPI number 1982681599
LBN Legal business name Grise, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982681599 NPPES
Connecticut Other 010017362CT01 BCBS
Connecticut MEDICAID 001173624 BCBS
Connecticut Other 017362 BCBS

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