Grisell, David Lawrence
Grisell, David Lawrence is an individual health care provider with primary practice located at 209 Crescent Ave , Greenville SC 29605-2814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Grisell, David Lawrence can be contacted via phone (864) 436-7447.Contact Information
Primary practice address
209 Crescent Ave
Greenville SC 29605-2814
Phone: (864) 436-7447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 1260 | South Carolina |
Profile Details
| NPI number | 1518959485 |
|---|---|
| LBN Legal business name | Grisell, David Lawrence |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Feb 8th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518959485 | NPPES |
| Indiana | MEDICAID | 200491700 | |
| Indiana | MEDICAID | 2478902 | |
| Indiana | MEDICAID | 64087455 | |
| Indiana | MEDICAID | 012603 | |
| Indiana | Other | P00166987 |
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