Grisham, Thomas D.

Grisham, Thomas D. is an individual health care provider with primary practice located at 232 S Woods Mill Rd , Chesterfield MO 63017-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grisham, Thomas D. can be contacted via phone (314) 205-6990.

Contact Information

Primary practice address
232 S Woods Mill Rd Chesterfield MO 63017-3417
Phone: (314) 205-6990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R3J37 Missouri

Profile Details

NPI number 1265452353
LBN Legal business name Grisham, Thomas D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 10th, 2012 - about 14 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 1265452353 NPPES
Missouri Other P00374184 RR MEDICARE
Missouri MEDICAID 202604559 RR MEDICARE

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