Grisham, C. Keith
Grisham, C. Keith is an sole proprietor health care provider with primary practice located at 3108 Midway Rd Suite #200, Plano TX 75093-6383. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Grisham, C. Keith can be contacted via phone (972) 781-1515.Contact Information
Primary practice address
3108 Midway Rd Suite #200
Plano TX 75093-6383
Phone: (972) 781-1515
Fax: (972) 781-1313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | K9791 | Texas |
Profile Details
| NPI number | 1356531180 |
|---|---|
| LBN Legal business name | Grisham, C. Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2007 |
| Last updated | Oct 31st, 2008 - about 16 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 | 1356531180 | NPPES |
| Texas | MEDICAID | 030393501 |
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