Grissom, Robert Thomas

Grissom, Robert Thomas is an individual health care provider with primary practice located at 8080 Bluebonnet Blvd Ste 3000, Baton Rouge LA 70810-7827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Grissom, Robert Thomas can be contacted via phone (225) 766-8100.

Contact Information

Primary practice address
8080 Bluebonnet Blvd Ste 3000 Baton Rouge LA 70810-7827
Phone: (225) 766-8100
Fax: (225) 766-0079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 05411R Louisiana

Profile Details

NPI number 1457388639
LBN Legal business name Grissom, Robert Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457388639 NPPES
Louisiana MEDICAID 1338036

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