Grubb, Bridget Caroline

Grubb, Bridget Caroline is an sole proprietor health care provider with primary practice located at 2001 Coolidge Rd , East Lansing MI 48823-1378. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Grubb, Bridget Caroline can be contacted via phone (517) 337-1668.

Contact Information

Primary practice address
2001 Coolidge Rd East Lansing MI 48823-1378
Fax: (517) 337-1779
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901005567 Michigan

Profile Details

NPI number 1164151346
LBN Legal business name Grubb, Bridget Caroline
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2022
Last updated Aug 16th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1164151346 NPPES
Michigan Other 4901005567 STATE LICENSE

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