Grimsley, William Archie
Grimsley, William Archie is an sole proprietor health care provider with primary practice located at 3500 Arendell St , Morehead City NC 28557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Grimsley, William Archie can be contacted via phone (252) 808-6074.Contact Information
Primary practice address
3500 Arendell St
Morehead City NC 28557
Phone: (252) 808-6074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 32712 | North Carolina |
Profile Details
| NPI number | 1407816176 |
|---|---|
| LBN Legal business name | Grimsley, William Archie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Apr 30th, 2020 - about 6 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 | 1407816176 | NPPES |
| North Carolina | MEDICAID | 8937682 | |
| North Carolina | Other | 37682 | |
| North Carolina | Other | 220015619 |
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