Gary Michael Grimsley in Lexington Park - Chiropractor

Gary Michael Grimsley - NPI 1457490708

Gary Michael Grimsley is a Chiropractor in Lexington Park, Maryland. Gary Michael Grimsley practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gary Michael Grimsley is 1457490708. The last update date is 2011-10-10.

Gary Michael Grimsley's current location address is 22780 Three Notch Rd, Lexington Park, Maryland. You can contact this provider via phone number 3017370662 and fax number 3017370675. The mailing address for Gary Michael Grimsley is 22780 Three Notch Rd, Lexington Park, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Michael Grimsley
Address 22780 Three Notch Rd, Lexington Park, Maryland
Phone Number 3017370662
Fax Number 3017370675
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1457490708
Provider Enumeration Date 2007-02-05
Last Updated Date 2011-10-10

Provider Mailing Address Detail

Address 22780 Three Notch Rd
City Lexington Park
State Maryland (MD)
Post Code 206531538
Phone Number 3017370662
Fax Number 3017370675

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1525
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
147743500 MD FEDERAL WORKMAN'S COMP.
427879 MD ALLIANCE
5870444 MD AETNA PPO
2174552 MD AETNA
LK96GR MD BLUECROSS MARYLAND
4794219002 MD CIGNA PPO
4794219003 MD CIGNA HMO
T289 MD BLUECROSS FEDERAL

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FAQs about Gary Michael Grimsley

What is the unique 10-digit identification code issued to Gary Michael Grimsley by the Centers for Medicare & Medicaid Services?

The Gary Michael Grimsley has been assigned the NPI (National Provider Identifier) 1457490708 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Gary Michael Grimsley is geographically located?

The Gary Michael Grimsley is physically situated at the following location: 22780 Three Notch Rd, Lexington Park, MD, 206531538.

What is Gary Michael Grimsley's area of expertise and its corresponding taxonomy classification?

The Gary Michael Grimsley's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Gary Michael Grimsley receive the assignment of its 1457490708 from the Centers for Medicare & Medicaid Services?

The Gary Michael Grimsley was issued its 1457490708 by the Centers for Medicare & Medicaid Services on 2007-02-05.

As of what date were the details related to Gary Michael Grimsley most recently updated or revised?

The information pertaining to Gary Michael Grimsley, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-10.

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