Grisham, Dannetta
Grisham, Dannetta is an sole proprietor health care provider with primary practice located at 300 Werner St , Hot Springs AR 71913-6406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Grisham, Dannetta can be contacted via phone (501) 622-1120.Contact Information
Primary practice address
300 Werner St
Hot Springs AR 71913-6406
Phone: (501) 622-1120
Fax: (501) 622-1199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | C7699 | Arkansas |
Profile Details
| NPI number | 1013974468 |
|---|---|
| LBN Legal business name | Grisham, Dannetta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Apr 10th, 2008 - about 18 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 | 1013974468 | NPPES |
| Other | 539876972 | MEDICARE LINKED | |
| MEDICAID | 117633001 | MEDICARE LINKED |
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