Grimes, Becky L
Grimes, Becky L is an individual health care provider with primary practice located at 3201 Pioneers Blvd Ste 304 , Lincoln NE 68502-5963. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grimes, Becky L can be contacted via phone (402) 483-2987.Contact Information
Primary practice address
3201 Pioneers Blvd Ste 304
Lincoln NE 68502-5963
Phone: (402) 483-2987
Fax: (402) 483-2980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25300 | Nebraska |
Profile Details
| NPI number | 1194832568 |
|---|---|
| LBN Legal business name | Grimes, Becky L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jun 10th, 2010 - about 16 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 | 1194832568 | NPPES |
| Nebraska | Other | 37819 | BCBS |
| Nebraska | MEDICAID | 47068394113 | BCBS |
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