Grisham, Gabriel

Grisham, Gabriel is an individual health care provider with primary practice located at Psc 475 , Fpo AP 96350-9998. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Grisham, Gabriel can be contacted via phone (301) 875-4494.

Contact Information

Primary practice address
Psc 475 Fpo AP 96350-9998
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401416112 Virginia

Profile Details

NPI number 1720570393
LBN Legal business name Grisham, Gabriel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2018
Last updated Aug 23rd, 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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