Grubbs, Andrew D

Grubbs, Andrew D is an individual health care provider with primary practice located at 4015 Executive Park Dr Ste 406, Cincinnati OH 45241-4017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Grubbs, Andrew D can be contacted via phone (513) 569-6747.

Contact Information

Primary practice address
4015 Executive Park Dr Ste 406 Cincinnati OH 45241-4017
Fax: (513) 563-6988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-049478 Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 35-049478 Ohio

Profile Details

NPI number 1720081151
LBN Legal business name Grubbs, Andrew D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Nov 30th, 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 1720081151 NPPES
Ohio MEDICAID 0617916
Ohio Other P00314600

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