Grisson, Ricky D

Grisson, Ricky D is an individual health care provider with primary practice located at 117 Ellenfield St Ste 101 , Providence RI 02905-4541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Grisson, Ricky D can be contacted via phone (401) 444-6779.

Contact Information

Primary practice address
117 Ellenfield St Ste 101 Providence RI 02905-4541
Phone: (401) 444-6779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X L-232504 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X A121170 California
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X MD15414 Rhode Island

Profile Details

NPI number 1093910606
LBN Legal business name Grisson, Ricky D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Oct 7th, 2020 - about 5 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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