Grenfell, Jr., Raymond F

Grenfell, Jr., Raymond F is an sole proprietor health care provider with primary practice located at 1151 N State St Suite 601, Jackson MS 39202-2407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Grenfell, Jr., Raymond F can be contacted via phone (601) 948-5158.

Contact Information

Primary practice address
1151 N State St Suite 601 Jackson MS 39202-2407
Phone: (601) 948-5158
Fax: (601) 949-6058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 07011 Mississippi

Profile Details

NPI number 1851309165
LBN Legal business name Grenfell, Jr., Raymond F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1851309165 NPPES
Mississippi MEDICAID 00017558

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