Grillo, Nicholas

Grillo, Nicholas is an sole proprietor health care provider with primary practice located at 4920 Millridge Pkwy E Suite 212, Midlothian VA 23112-4857. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Grillo, Nicholas can be contacted via phone (804) 744-8400.

Contact Information

Primary practice address
4920 Millridge Pkwy E Suite 212 Midlothian VA 23112-4857
Phone: (804) 744-8400
Fax: (804) 790-1533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000758 Virginia

Profile Details

NPI number 1760405880
LBN Legal business name Grillo, Nicholas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - 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 1760405880 NPPES
Virginia MEDICAID 8901066

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