Grissom, Daniel
Grissom, Daniel is an individual health care provider with primary practice located at 1800 W Charleston Blvd , Las Vegas NV 89102-2386. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Grissom, Daniel can be contacted via phone (702) 383-2000.Contact Information
Primary practice address
1800 W Charleston Blvd
Las Vegas NV 89102-2386
Phone: (702) 383-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 24016 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01084383A | Indiana |
Profile Details
| NPI number | 1063943686 |
|---|---|
| LBN Legal business name | Grissom, Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2017 |
| Last updated | Jul 10th, 2024 - about 2 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.
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