Grimm, William
Grimm, William is an sole proprietor health care provider with primary practice located at 1598 Longwood Dr , Mayfield Hts OH 44124-3006. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Grimm, William can be contacted via phone (440) 523-0171.Contact Information
Primary practice address
1598 Longwood Dr
Mayfield Hts OH 44124-3006
Phone: (440) 523-0171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 0095639 | Ohio |
Profile Details
| NPI number | 1649682980 |
|---|---|
| LBN Legal business name | Grimm, William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2014 |
| Last updated | May 28th, 2014 - 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 | 1649682980 | NPPES |
| Ohio | MEDICAID | 0095639 |
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