Grider, Douglas James

Grider, Douglas James is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Grider, Douglas James can be contacted via phone (540) 981-7271.

Contact Information

Primary practice address
1906 Belleview Ave Se Roanoke VA 24014-1838
Phone: (540) 981-7271
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101247057 Virginia
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 0101247057 Virginia

Profile Details

NPI number 1184684581
LBN Legal business name Grider, Douglas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 8th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184684581 NPPES
Virginia MEDICAID 1184684581
Virginia MEDICAID 3810017221
Virginia Other P00836588

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