Grimes, Michael G
Grimes, Michael G is an individual health care provider with primary practice located at 4774 Munson St Nw Suite 401, Canton OH 44718-3634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grimes, Michael G can be contacted via phone (330) 754-4431.Contact Information
Primary practice address
4774 Munson St Nw Suite 401
Canton OH 44718-3634
Phone: (330) 754-4431
Fax: (330) 777-5499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35077014G | Ohio |
Profile Details
| NPI number | 1336122175 |
|---|---|
| LBN Legal business name | Grimes, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Jul 26th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336122175 | NPPES |
| Ohio | MEDICAID | 2256311 |
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