Grisoni, Nicolas Enrique

Grisoni, Nicolas Enrique is an individual health care provider with primary practice located at 9327 N 3Rd St Ste 300 , Phoenix AZ 85020-2476. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Grisoni, Nicolas Enrique can be contacted via phone (602) 648-5444.

Contact Information

Primary practice address
9327 N 3Rd St Ste 300 Phoenix AZ 85020-2476
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 72936 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35-092688 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 72936 Arizona

Profile Details

NPI number 1104959220
LBN Legal business name Grisoni, Nicolas Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated May 7th, 2024 - about 6 months 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 1104959220 NPPES
Ohio MEDICAID 3030900

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