Provider Demographics
NPI:1871731000
Name:GRIGSBY, ALAN E
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:E
Last Name:GRIGSBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 S SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3932
Mailing Address - Country:US
Mailing Address - Phone:785-827-8911
Mailing Address - Fax:785-827-2050
Practice Address - Street 1:234 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3932
Practice Address - Country:US
Practice Address - Phone:785-827-8911
Practice Address - Fax:785-827-2050
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS341237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist