Griffin, Gail T

Griffin, Gail T is an individual health care provider with primary practice located at 4155 County Road 101 N , Plymouth MN 55446. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Griffin, Gail T can be contacted via phone (952) 993-8955.

Contact Information

Primary practice address
4155 County Road 101 N Plymouth MN 55446
Phone: (952) 993-8955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0055104 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 63350 Minnesota

Profile Details

NPI number 1386614709
LBN Legal business name Griffin, Gail T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jun 11th, 2018 - about 8 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 1386614709 NPPES
Other 2323674 UNITED
MEDICAID 478201100 UNITED
Other 610101-01 UNITED
Other 3019264 UNITED
Other W567-0010 UNITED

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