Grisso, Wayne Alden
Grisso, Wayne Alden is an individual health care provider with primary practice located at 2200 Morriss Rd Suite 200, Flower Mound TX 75028-3598. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grisso, Wayne Alden can be contacted via phone (972) 874-7554.Contact Information
Primary practice address
2200 Morriss Rd Suite 200
Flower Mound TX 75028-3598
Phone: (972) 874-7554
Fax: (972) 874-7553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 713593 | Oregon |
| Chiropractic Providers / Chiropractor | 111N00000X | 8761 | Texas |
Profile Details
| NPI number | 1811938756 |
|---|---|
| LBN Legal business name | Grisso, Wayne Alden |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Nov 5th, 2008 - about 17 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 | 1811938756 | NPPES |
| Oregon | Other | 651163168 | TAX ID |
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