Grizzard, David

Grizzard, David is an individual health care provider with primary practice located at 1800 Beach Dr , Gulfport MS 39507-1553. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Grizzard, David can be contacted via phone (228) 897-4452.

Contact Information

Primary practice address
1800 Beach Dr Gulfport MS 39507-1553
Phone: (228) 897-4452
Fax: (228) 897-4481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT2521 Mississippi

Profile Details

NPI number 1093269748
LBN Legal business name Grizzard, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093269748 NPPES
Mississippi MEDICAID 09015077
Mississippi Other 1033218524

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