Clinkingbeard, Grant Dean
Clinkingbeard, Grant Dean is an individual health care provider with primary practice located at 728 W 11Th Ave , Covington LA 70433-2318. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Clinkingbeard, Grant Dean can be contacted via phone (985) 730-7195.Contact Information
Primary practice address
728 W 11Th Ave
Covington LA 70433-2318
Phone: (985) 730-7195
Fax: (985) 730-7196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 328752 | Louisiana |
Profile Details
| NPI number | 1710446968 |
|---|---|
| LBN Legal business name | Clinkingbeard, Grant Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2019 |
| Last updated | Mar 24th, 2023 - about 3 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.
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