Grigsby, Benson Albert

Grigsby, Benson Albert is an individual health care provider with primary practice located at 2916 N Trenton St , Ruston LA 71270-2444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Grigsby, Benson Albert can be contacted via phone (318) 254-2892.

Contact Information

Primary practice address
2916 N Trenton St Ruston LA 71270-2444
Phone: (318) 254-2892
Fax: (318) 254-2898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 018222 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 018222 Louisiana

Profile Details

NPI number 1487687513
LBN Legal business name Grigsby, Benson Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jan 2nd, 2008 - about 18 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 1487687513 NPPES
Louisiana MEDICAID 1656453

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