Grile, Matthew Loran
Grile, Matthew Loran is an sole proprietor health care provider with primary practice located at 1325 Pacific Hwy Unit 3501 , San Diego CA 92101-2600. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Grile, Matthew Loran can be contacted via phone (858) 945-6410.Contact Information
Primary practice address
1325 Pacific Hwy Unit 3501
San Diego CA 92101-2600
Phone: (858) 945-6410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1508409772 |
|---|---|
| LBN Legal business name | Grile, Matthew Loran |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2019 |
| Last updated | Oct 21st, 2019 - about 7 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 | 1508409772 | NPPES |
| Florida | Other | G640-552-79-308-0 | DRIVER LICENSE |
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