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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831163310 NPPES
Other DH 12070 HYGIENIST

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