Griswold, John Anthony
Griswold, John Anthony is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Griswold, John Anthony can be contacted via phone (806) 743-2373.Contact Information
Primary practice address
3601 4Th St
Lubbock TX 79430-0002
Phone: (806) 743-2373
Fax: (806) 743-4354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G1419 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | G1419 | Texas |
Profile Details
| NPI number | 1720062789 |
|---|---|
| LBN Legal business name | Griswold, John Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Nov 23rd, 2021 - about 3 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 | 1720062789 | NPPES |
| New Mexico | MEDICAID | 201015993 | |
| New Mexico | Other | A039 | |
| New Mexico | MEDICAID | 114085101 | |
| New Mexico | Other | 80840Z | |
| New Mexico | Other | 83G204 | |
| New Mexico | MEDICAID | 100204440A | |
| New Mexico | Other | 114085100 | |
| New Mexico | MEDICAID | 125354403 | |
| New Mexico | Other | 201015993 | |
| New Mexico | MEDICAID | 125354402 | |
| New Mexico | MEDICAID | Y0224 |
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