Grisaffi, Chris M

Grisaffi, Chris M is an individual health care provider with primary practice located at 1010 N Orchard St Ste 8 , Boise ID 83706-2255. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, which is considered as his primary health care specialty. Grisaffi, Chris M can be contacted via phone (208) 331-4097.

Contact Information

Primary practice address
1010 N Orchard St Ste 8 Boise ID 83706-2255
Phone: (208) 331-4097
Fax: (208) 331-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Laboratory Management 246QL0900X P1869 Idaho

Profile Details

NPI number 1942697115
LBN Legal business name Grisaffi, Chris M
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2015
Last updated Apr 24th, 2015 - about 10 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 1942697115 NPPES
Idaho MEDICAID 1295917375

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