Grist, Mary Elizabeth
Grist, Mary Elizabeth is an individual health care provider with primary practice located at 1574 Henthorne Dr Suite C, Maumee OH 43537-1397. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grist, Mary Elizabeth can be contacted via phone (419) 794-1407.Contact Information
Primary practice address
1574 Henthorne Dr Suite C
Maumee OH 43537-1397
Phone: (419) 794-1407
Fax: (419) 794-1171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.090606 | Ohio |
Profile Details
| NPI number | 1912175316 |
|---|---|
| LBN Legal business name | Grist, Mary Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Feb 24th, 2013 - about 12 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 | 1912175316 | NPPES |
| Ohio | MEDICAID | 2836319 |
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