Grigsby, David A.
Grigsby, David A. is an individual health care provider with primary practice located at 433 West Central Ave Suite 2, Jamestown TN 38556-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grigsby, David A. can be contacted via phone (931) 752-5844.Contact Information
Primary practice address
433 West Central Ave Suite 2
Jamestown TN 38556-0000
Phone: (931) 752-5844
Fax: (931) 752-5845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 8021 | Tennessee |
Profile Details
| NPI number | 1366411977 |
|---|---|
| LBN Legal business name | Grigsby, David A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366411977 | NPPES |
| Kentucky | MEDICAID | 64747793 | |
| Kentucky | Other | 100033436 | |
| Kentucky | Other | TN0115 | |
| Kentucky | Other | 4152618 |
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