Grady, Richard Dwight
Grady, Richard Dwight is an individual health care provider with primary practice located at 3110 Wellons Blvd , New Bern NC 28562-5247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Grady, Richard Dwight can be contacted via phone (252) 638-2515.Contact Information
Primary practice address
3110 Wellons Blvd
New Bern NC 28562-5247
Phone: (252) 638-2515
Fax: (252) 638-8538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 21784 | North Carolina |
Profile Details
| NPI number | 1912945908 |
|---|---|
| LBN Legal business name | Grady, Richard Dwight |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 17th, 2017 - about 8 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 | 1912945908 | NPPES |
| North Carolina | MEDICAID | 8936530 |
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