Grisham, Jeffrey William

Grisham, Jeffrey William is an sole proprietor health care provider with primary practice located at 3615 Se Kentucky St , Bartlesville OK 74006-2324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grisham, Jeffrey William can be contacted via phone (918) 333-2020.

Contact Information

Primary practice address
3615 Se Kentucky St Bartlesville OK 74006-2324
Fax: (918) 335-3253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15291 Oklahoma

Profile Details

NPI number 1871598011
LBN Legal business name Grisham, Jeffrey William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Aug 22nd, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871598011 NPPES
Oklahoma MEDICAID 100102110A

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