Granato, Jackson Russel

Granato, Jackson Russel is an individual health care provider with primary practice located at 368 Crescent Spring Dr , Louisville KY 40206-2890. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Granato, Jackson Russel can be contacted via phone (913) 653-2289.

Contact Information

Primary practice address
368 Crescent Spring Dr Louisville KY 40206-2890
Phone: (913) 653-2289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1265115828
LBN Legal business name Granato, Jackson Russel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2023
Last updated Feb 6th, 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.

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