Grisell, David Lawrence

Grisell, David Lawrence is an individual health care provider with primary practice located at 209 Crescent Ave , Greenville SC 29605-2814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Grisell, David Lawrence can be contacted via phone (864) 436-7447.

Contact Information

Primary practice address
209 Crescent Ave Greenville SC 29605-2814
Phone: (864) 436-7447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 1260 South Carolina

Profile Details

NPI number 1518959485
LBN Legal business name Grisell, David Lawrence
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 8th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518959485 NPPES
Indiana MEDICAID 200491700
Indiana MEDICAID 2478902
Indiana MEDICAID 64087455
Indiana MEDICAID 012603
Indiana Other P00166987

Popular Providers