Grisoli, Richard J.
Grisoli, Richard J. is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr , Hammond LA 70403-1434. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Grisoli, Richard J. can be contacted via phone (985) 345-8867.Contact Information
Primary practice address
15790 Paul Vega Md Dr
Hammond LA 70403-1434
Phone: (985) 345-8867
Fax: (985) 542-5322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 016201 | Louisiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 016201 | Louisiana |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | ME92186 | Florida |
Profile Details
| NPI number | 1568467413 |
|---|---|
| LBN Legal business name | Grisoli, Richard J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Apr 24th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568467413 | NPPES |
| Louisiana | MEDICAID | 1337781 |
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