Provider Demographics
NPI:1548808660
Name:GRIFFO INC
Entity type:Organization
Organization Name:GRIFFO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:707-347-9893
Mailing Address - Street 1:421 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-4232
Mailing Address - Country:US
Mailing Address - Phone:707-347-9893
Mailing Address - Fax:
Practice Address - Street 1:224A WELLER ST
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-3410
Practice Address - Country:US
Practice Address - Phone:707-762-7678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty