Gryfinski, Martin Edward

Gryfinski, Martin Edward is an individual health care provider with primary practice located at 1340 Charles St Suite 400, Rockford IL 61104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gryfinski, Martin Edward can be contacted via phone (779) 696-9512.

Contact Information

Primary practice address
1340 Charles St Suite 400 Rockford IL 61104
Phone: (779) 696-9512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036-071919 Illinois

Profile Details

NPI number 1588779763
LBN Legal business name Gryfinski, Martin Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 25th, 2018 - about 6 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 1588779763 NPPES
Illinois MEDICAID 036071919
Illinois Other 01915166
Illinois Other 197958
Illinois Other P00971760

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