Clarence E. Grim in Stateline - Geriatric Medicine
Clarence E. Grim - NPI 1760404768
Clarence E. Grim is a Geriatric Medicine in Stateline, Nevada. Clarence E. Grim practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Clarence E. Grim is 1760404768. The last update date is 2020-03-10.
Clarence E. Grim's current location address is 195 Hwy 50, Suite #104, Stateline, Nevada. You can contact this provider via phone number 4149160841. The mailing address for Clarence E. Grim is 195 Hwy 50, Suite #104, Stateline, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence E. Grim |
|---|---|
| Address | 195 Hwy 50, Suite #104, Stateline, Nevada |
| Phone Number | 4149160841 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760404768 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2020-03-10 |
Provider Mailing Address Detail
| Address | 195 Hwy 50, Suite #104 |
|---|---|
| City | Stateline |
| State | Nevada (NV) |
| Post Code | 894497172 |
| Phone Number | 4149160841 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 14040 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32093400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clarence E. Grim?
The Clarence E. Grim has been issued the NPI (National Provider Identifier) 1760404768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Clarence E. Grim is located?
The Clarence E. Grim is situated at the following address: 195 Hwy 50, Suite #104, Stateline, NV, 894497172.
What is the area of specialization for Clarence E. Grim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clarence E. Grim is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0300X.
When did Clarence E. Grim receive its 1760404768 assignment?
The Clarence E. Grim was assigned its 1760404768 on 2006-07-25, which is the date when this unique identifier was issued to the organization.
As of what date were the Clarence E. Grim's details last updated?
The information pertaining to the Clarence E. Grim, including its address, specialty, and other details, was most recently updated on 2020-03-10.