Grisham, Dean Lee

Grisham, Dean Lee is an individual health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Grisham, Dean Lee can be contacted via phone (785) 239-7528.

Contact Information

Primary practice address
650 Huebner Rd Fort Riley KS 66442-4030
Phone: (785) 239-7528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001197573 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 14117177012 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024169253 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 557052 Kansas

Profile Details

NPI number 1093882763
LBN Legal business name Grisham, Dean Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Mar 10th, 2023 - about last year

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 1093882763 NPPES
Kansas MEDICAID 200743350A

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