Grillis, Michael Emanuel

Grillis, Michael Emanuel is an individual health care provider with primary practice located at 2281 Hayes Ave , Fremont OH 43420-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grillis, Michael Emanuel can be contacted via phone (419) 355-8488.

Contact Information

Primary practice address
2281 Hayes Ave Fremont OH 43420-2632
Fax: (419) 355-8890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34004664 Ohio

Profile Details

NPI number 1508974494
LBN Legal business name Grillis, Michael Emanuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 28th, 2016 - about 9 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 1508974494 NPPES
Ohio MEDICAID 0739964

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