Grinovich, Sean C.

Grinovich, Sean C. is an individual health care provider with primary practice located at 300 University Blvd , Round Rock TX 78665-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grinovich, Sean C. can be contacted via phone (512) 509-2020.

Contact Information

Primary practice address
300 University Blvd Round Rock TX 78665-1032
Phone: (512) 509-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K0310 Texas

Profile Details

NPI number 1174583439
LBN Legal business name Grinovich, Sean C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 13th, 2007 - about 19 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 1174583439 NPPES
Texas Other 82706N BLUE SHIELD
Texas Other 1029589-01 BLUE SHIELD
Texas MEDICAID 1029589-02 BLUE SHIELD
Texas Other 180040587 BLUE SHIELD

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