Douglas Nathanael Grimes in Crestview - Student In An Organized Health Care Education/training Program
Douglas Nathanael Grimes - NPI 1104972108
Douglas Nathanael Grimes is a Student In An Organized Health Care Education/training Program in Crestview, Florida. Douglas Nathanael Grimes practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Douglas Nathanael Grimes is 1104972108. The last update date is 2007-07-08.
Douglas Nathanael Grimes's current location address is 138 Salvadore Dr, Crestview, Florida. You can contact this provider via phone number 8506822433. The mailing address for Douglas Nathanael Grimes is 138 Salvadore Dr, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Nathanael Grimes |
|---|---|
| Address | 138 Salvadore Dr, Crestview, Florida |
| Phone Number | 8506822433 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNA |
NPI Number Detail
| NPI Number | 1104972108 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 138 Salvadore Dr |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325361802 |
| Phone Number | 8506822433 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | CNA 8761 |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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What is the Douglas Nathanael Grimes's unique identification number?
The Douglas Nathanael Grimes has been assigned the NPI (National Provider Identifier) Number 1104972108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Douglas Nathanael Grimes's physical address?
The Douglas Nathanael Grimes is physically located at 138 Salvadore Dr, in the city of Crestview, FL, with the postal code 325361802.
What is Douglas Nathanael Grimes's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas Nathanael Grimes's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.
On what date did the Douglas Nathanael Grimes receive the assignment of its 1104972108 from the Centers for Medicare & Medicaid Services?
The Douglas Nathanael Grimes was issued its 1104972108 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the Douglas Nathanael Grimes's information last updated?
The Douglas Nathanael Grimes's information was last updated on 2007-07-08.