Grix, Gary

Grix, Gary is an individual health care provider with primary practice located at 1103 W Liberty St , Farmington MO 63640-1921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grix, Gary can be contacted via phone (573) 756-6751.

Contact Information

Primary practice address
1103 W Liberty St Farmington MO 63640-1921
Phone: (573) 756-6751
Fax: (573) 756-6807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R9192 Missouri

Profile Details

NPI number 1902912645
LBN Legal business name Grix, Gary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Feb 20th, 2012 - about 13 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 1902912645 NPPES
Missouri MEDICAID 200951218

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