Grubb, Matthew Thomas

Grubb, Matthew Thomas is an sole proprietor health care provider with primary practice located at 1206 Sw Main Blvd Suite 103, Lake City FL 32025-6684. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Grubb, Matthew Thomas can be contacted via phone (386) 719-2500.

Contact Information

Primary practice address
1206 Sw Main Blvd Suite 103 Lake City FL 32025-6684
Phone: (386) 719-2500
Fax: (386) 719-2500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA21745 Florida

Profile Details

NPI number 1235151234
LBN Legal business name Grubb, Matthew Thomas
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Apr 14th, 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 1235151234 NPPES
Florida Other C8328 BLUE CROSS BLUE SHIELD PR

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