Grisham, Jeffrey William
Grisham, Jeffrey William is an sole proprietor health care provider with primary practice located at 3615 Se Kentucky St , Bartlesville OK 74006-2324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grisham, Jeffrey William can be contacted via phone (918) 333-2020.Contact Information
Primary practice address
3615 Se Kentucky St
Bartlesville OK 74006-2324
Phone: (918) 333-2020
Fax: (918) 335-3253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 15291 | Oklahoma |
Profile Details
| NPI number | 1871598011 |
|---|---|
| LBN Legal business name | Grisham, Jeffrey William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Aug 22nd, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871598011 | NPPES |
| Oklahoma | MEDICAID | 100102110A |
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