Grill, Robert B

Grill, Robert B is an individual health care provider with primary practice located at 844 Shoshone St E , Twin Falls ID 83301-6336. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grill, Robert B can be contacted via phone (208) 734-9800.

Contact Information

Primary practice address
844 Shoshone St E Twin Falls ID 83301-6336
Phone: (208) 734-9800
Fax: (208) 734-9433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP0628 Idaho

Profile Details

NPI number 1639280951
LBN Legal business name Grill, Robert B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 27th, 2010 - about 15 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 1639280951 NPPES
Idaho MEDICAID 002457900

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