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Contact Information

CHRIS M GRISAFFI, BS
1010 N ORCHARD ST STE 8
BOISE, ID83706-2255
 Phone: 208-331-4097
 Fax: 208-331-4095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Laboratory Management

246QL0900X
Indicates primary specialty

NPI Profile & details for CHRIS M GRISAFFI · (Male)

NPI Number 1942697115
Status Active
Credentials BS
Entity Individual
Enumeration date 04/24/2015
Last updated 04/24/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • ID License # P1869
  • ID Medicaid 1295917375
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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