Gerner, Grant

Gerner, Grant is an individual health care provider with primary practice located at 539 Harkle Rd Suite B, Santa Fe NM 87505-4782. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gerner, Grant can be contacted via phone (505) 795-7735.

Contact Information

Primary practice address
539 Harkle Rd Suite B Santa Fe NM 87505-4782
Phone: (505) 795-7735
Fax: (505) 795-7732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 90-196 New Mexico
Allopathic & Osteopathic Physicians / General Practice 208D00000X 90-196 New Mexico

Profile Details

NPI number 1407924293
LBN Legal business name Gerner, Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 19th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407924293 NPPES
New Mexico MEDICAID F9204
New Mexico Other 30154

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