Grubb, Mark S
Grubb, Mark S is an individual health care provider with primary practice located at 1706 Meridian S Suite 120, Puyallup WA 98371-7516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grubb, Mark S can be contacted via phone (253) 848-8797.Contact Information
Primary practice address
1706 Meridian S Suite 120
Puyallup WA 98371-7516
Phone: (253) 848-8797
Fax: (253) 446-3239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00022902 | Washington |
Profile Details
| NPI number | 1801873880 |
|---|---|
| LBN Legal business name | Grubb, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1801873880 | NPPES |
| Washington | Other | 1018068 | DSHS NUMBER |
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