Trent, Robert Grinnell
Trent, Robert Grinnell is an individual health care provider with primary practice located at 3190 Churn Creek Rd , Redding CA 96002-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Trent, Robert Grinnell can be contacted via phone (530) 223-2500.Contact Information
Primary practice address
3190 Churn Creek Rd
Redding CA 96002-2122
Phone: (530) 223-2500
Fax: (530) 226-1375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G86708 | California |
Profile Details
| NPI number | 1114913761 |
|---|---|
| LBN Legal business name | Trent, Robert Grinnell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Oct 25th, 2012 - about 12 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 | 1114913761 | NPPES |
| California | MEDICAID | 00G867080 |
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