Grisham, Justin
Grisham, Justin is an individual health care provider with primary practice located at 1650 Cochrane Cir , Ft Carson CO 80913-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Grisham, Justin can be contacted via phone (801) 815-0920.Contact Information
Primary practice address
1650 Cochrane Cir
Ft Carson CO 80913-4613
Phone: (801) 815-0920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0065361 | Colorado |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 05-49286 | Kansas |
Profile Details
| NPI number | 1427417062 |
|---|---|
| LBN Legal business name | Grisham, Justin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2016 |
| Last updated | Jun 5th, 2024 - 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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