Grimsrud, Royce L.
Grimsrud, Royce L. is an sole proprietor health care provider with primary practice located at 121 E Maple St , Sisseton SD 57262-1412. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grimsrud, Royce L. can be contacted via phone (605) 698-4112.Contact Information
Primary practice address
121 E Maple St
Sisseton SD 57262-1412
Phone: (605) 698-4112
Fax: (605) 698-3160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 437 | South Dakota |
Profile Details
| NPI number | 1033182936 |
|---|---|
| LBN Legal business name | Grimsrud, Royce L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jan 29th, 2008 - about 17 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 | 1033182936 | NPPES |
| South Dakota | MEDICAID | 9201690 |
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