Grubb, Monty G.

Grubb, Monty G. is an individual health care provider with primary practice located at 7946 Market St Suite 500, Wilmington NC 28411-8724. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Adult Development & Aging is his primary health care specialty. Grubb, Monty G. can be contacted via phone (901) 686-4300.

Contact Information

Primary practice address
7946 Market St Suite 500 Wilmington NC 28411-8724
Phone: (901) 686-4300
Fax: (910) 686-3303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 1529 North Carolina
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1529 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1529 North Carolina

Profile Details

NPI number 1083695340
LBN Legal business name Grubb, Monty G.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083695340 NPPES
North Carolina MEDICAID 6000492
North Carolina Other 1529

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