Grimm, Carol Jean
Grimm, Carol Jean is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Grimm, Carol Jean can be contacted via phone (701) 234-4811.Contact Information
Primary practice address
801 Broadway N
Fargo ND 58102-3641
Phone: (701) 234-4811
Fax: (701) 234-6979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 5501 | North Dakota |
Profile Details
| NPI number | 1558389106 |
|---|---|
| LBN Legal business name | Grimm, Carol Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jan 19th, 2012 - about 14 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 | 1558389106 | NPPES |
| Minnesota | MEDICAID | 680387300 | |
| Minnesota | MEDICAID | 15677 |
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