Christian, Grant L.
Christian, Grant L. is an individual health care provider with primary practice located at 425 Medical Drive Suite 118, Bountiful UT 84010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Christian, Grant L. can be contacted via phone (801) 292-1422.Contact Information
Primary practice address
425 Medical Drive Suite 118
Bountiful UT 84010
Phone: (801) 292-1422
Fax: (801) 296-0436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 149797-8905 | Utah |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 149797-1205 | Utah |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 149797-1205 | Utah |
Profile Details
| NPI number | 1073671442 |
|---|---|
| LBN Legal business name | Christian, Grant L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Nov 20th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073671442 | NPPES |
| Utah | Other | 107005467101 | IHC |
| Utah | Other | OMXAFO2632 | IHC |
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