Fankhauser, Grant T
Fankhauser, Grant T is an individual health care provider with primary practice located at 9192 W Union Hills Dr , Peoria AZ 85382-8208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Fankhauser, Grant T can be contacted via phone (602) 374-4101.Contact Information
Primary practice address
9192 W Union Hills Dr
Peoria AZ 85382-8208
Phone: (602) 374-4101
Fax: (602) 441-0522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 37503 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 37503 | Arizona |
Profile Details
| NPI number | 1831121532 |
|---|---|
| LBN Legal business name | Fankhauser, Grant T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Aug 9th, 2024 - about 2 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 | 1831121532 | NPPES |
| Arizona | MEDICAID | 705707 |
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