National Provider Identifier Database

GRAMBLING STATE UNIVERSITY
Student Health


Contact Information

GRAMBLING STATE UNIVERSITY
403 MAIN ST
GRAMBLING, LA71245-2715
Phone: 318-274-2351
Fax:
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for GRAMBLING STATE UNIVERSITY

NPI Number 1043648173
Legal business name
LBN
GRAMBLING STATE UNIVERSITY
Authorized official PATRICE OUTLEY - (DIRECTOR OF STUDENT HEALTH SERVICES)
Entity Organization
Organization subpart No
Enumeration date 10/29/2013
Last updated 10/29/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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