Grissom, Bonnie J
Grissom, Bonnie J is an sole proprietor health care provider with primary practice located at Palmetto Health Baptist Diabetes Education 1333 Taylor Street; Suite 4-E, Columbia SC 29201. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Grissom, Bonnie J can be contacted via phone (803) 296-3956.Contact Information
Primary practice address
Palmetto Health Baptist Diabetes Education 1333 Taylor Street; Suite 4-E
Columbia SC 29201
Phone: (803) 296-3956
Fax: (803) 296-8908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | 64034 | South Carolina |
Profile Details
| NPI number | 1003016650 |
|---|---|
| LBN Legal business name | Grissom, Bonnie J |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Jul 23rd, 2007 - about 18 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 | 1003016650 | NPPES |
| South Carolina | Other | 64034 | STATE LICENSE |
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