Individual
JAMES R. GRILLIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
108 W MAIN ST, BREMEN, OH 43107-1176
(740) 687-0279
(740) 569-0306
Mailing address
108 W MAIN ST, BREMEN, OH 43107-1176
(740) 687-0279
(740) 687-0306
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716498
—
OH
Enumeration date
09/07/2005
Last updated
12/18/2013
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