Grunstra, Bernard
Grunstra, Bernard is an individual health care provider with primary practice located at 350 Steeles Rd , Bristol TN 37620-9532. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grunstra, Bernard can be contacted via phone (423) 844-6700.Contact Information
Primary practice address
350 Steeles Rd
Bristol TN 37620-9532
Phone: (423) 844-6700
Fax: (423) 844-6703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD21854 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD21854 | Tennessee |
Profile Details
| NPI number | 1558367417 |
|---|---|
| LBN Legal business name | Grunstra, Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Apr 2nd, 2014 - about 10 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 | 1558367417 | NPPES |
| Virginia | MEDICAID | 006747531 | |
| Virginia | Other | 103I119101 | |
| Virginia | Other | 110162828 | |
| Virginia | Other | 242839 | |
| Virginia | Other | 3076812 |
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