Grisham, Dannetta

Grisham, Dannetta is an sole proprietor health care provider with primary practice located at 300 Werner St , Hot Springs AR 71913-6406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Grisham, Dannetta can be contacted via phone (501) 622-1120.

Contact Information

Primary practice address
300 Werner St Hot Springs AR 71913-6406
Phone: (501) 622-1120
Fax: (501) 622-1199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C7699 Arkansas

Profile Details

NPI number 1013974468
LBN Legal business name Grisham, Dannetta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Apr 10th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013974468 NPPES
Other 539876972 MEDICARE LINKED
MEDICAID 117633001 MEDICARE LINKED

Popular Providers