Grisham, Joel Mark

Grisham, Joel Mark is an sole proprietor health care provider with primary practice located at 10837 Laurel St 101, Rancho Cucamonga CA 91730-7643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Grisham, Joel Mark can be contacted via phone (562) 208-1600.

Contact Information

Primary practice address
10837 Laurel St 101 Rancho Cucamonga CA 91730-7643
Phone: (562) 208-1600
Fax: (909) 481-3679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C39296 California

Profile Details

NPI number 1518279595
LBN Legal business name Grisham, Joel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2010
Last updated Jul 8th, 2010 - about 16 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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