Isgrigg, Nita Suzann
Isgrigg, Nita Suzann is an individual health care provider with primary practice located at 110 Village Ln , Mt Washington KY 40047-7658. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Isgrigg, Nita Suzann can be contacted via phone (502) 538-3434.Contact Information
Primary practice address
110 Village Ln
Mt Washington KY 40047-7658
Phone: (502) 538-3434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7359 | Kentucky |
Profile Details
| NPI number | 1154413342 |
|---|---|
| LBN Legal business name | Isgrigg, Nita Suzann |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154413342 | NPPES |
| Kentucky | MEDICAID | 60073590 |
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