Grim, Donald Keith
Grim, Donald Keith is an individual health care provider with primary practice located at 605 E Holland Ave Suite 200, Spokane WA 99218-2225. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Grim, Donald Keith can be contacted via phone (509) 838-2531.Contact Information
Primary practice address
605 E Holland Ave Suite 200
Spokane WA 99218-2225
Phone: (509) 838-2531
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO00000213 | Washington |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | P 90 | Idaho |
Profile Details
NPI number | 1538143698 |
---|---|
LBN Legal business name | Grim, Donald Keith |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2005 |
Last updated | Dec 12th, 2011 - about 12 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 | 1538143698 | NPPES |
Washington | Other | 8869611 | MEDICARE PTAN GROUP |
Washington | MEDICAID | 1071505 | MEDICARE PTAN GROUP |
Washington | Other | 000300588 | MEDICARE PTAN GROUP |
Washington | Other | E11326 | MEDICARE PTAN GROUP |
Washington | Other | GRIMD1132659504 | MEDICARE PTAN GROUP |
Washington | Other | 480661077 | MEDICARE PTAN GROUP |
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