Grimm, Ellen M.

Grimm, Ellen M. is an individual health care provider with primary practice located at 1330 Wonder World Dr , San Marcos TX 78666-7566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Grimm, Ellen M. can be contacted via phone (512) 805-0680.

Contact Information

Primary practice address
1330 Wonder World Dr San Marcos TX 78666-7566
Phone: (512) 805-0680
Fax: (512) 805-0682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X J4170 Texas

Profile Details

NPI number 1275500100
LBN Legal business name Grimm, Ellen M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Feb 1st, 2022 - about 4 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 1275500100 NPPES
Texas MEDICAID 101802002
Texas Other 390007009
Texas MEDICAID 101802004

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