Grzywacz, Robert B

Grzywacz, Robert B is an sole proprietor health care provider with primary practice located at 3221 E Warm Springs Rd , Las Vegas NV 89120-3157. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Grzywacz, Robert B can be contacted via phone (702) 733-7617.

Contact Information

Primary practice address
3221 E Warm Springs Rd Las Vegas NV 89120-3157
Phone: (702) 733-7617
Fax: (702) 733-1732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 793965375 Nevada

Profile Details

NPI number 1316148646
LBN Legal business name Grzywacz, Robert B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated May 23rd, 2008 - about 18 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 1316148646 NPPES
Nevada Other 5623276299 TIN
Nevada Other P00058662 TIN

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