Grinslade, Beverly Annette
Grinslade, Beverly Annette is an individual health care provider with primary practice located at 2475 Garrison Ave , Port St Joe FL 32456-5265. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Grinslade, Beverly Annette can be contacted via phone (850) 227-1276.Contact Information
Primary practice address
2475 Garrison Ave
Port St Joe FL 32456-5265
Phone: (850) 227-1276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH12070 |
Profile Details
| NPI number | 1831163310 |
|---|---|
| LBN Legal business name | Grinslade, Beverly Annette |
| Credentials | HYGIENIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831163310 | NPPES |
| Other | DH 12070 | HYGIENIST |
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