Individual
MR. BRIAN K GRINDSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
210 N SECTION ST UNIT C, SULLIVAN, IN 47882-1237
(812) 268-3400
(812) 268-5713
Mailing address
210 N SECTION ST UNIT C, SULLIVAN, IN 47882-1237
(812) 268-3400
(812) 268-5713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001748
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386427
BCBS PIN
IN
05
—
200150950A
—
IN
Enumeration date
03/13/2007
Last updated
11/21/2007
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