Grandon, Stanley Chase
Grandon, Stanley Chase is an individual health care provider with primary practice located at 15212 Michigan Ave , Dearborn MI 48126-3497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grandon, Stanley Chase can be contacted via phone (313) 582-8856.Contact Information
Primary practice address
15212 Michigan Ave
Dearborn MI 48126-3497
Phone: (313) 582-8856
Fax: (313) 582-8265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | SG030076 | Michigan |
Profile Details
| NPI number | 1013956556 |
|---|---|
| LBN Legal business name | Grandon, Stanley Chase |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Oct 15th, 2007 - about 18 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 | 1013956556 | NPPES |
| Michigan | MEDICAID | 1382517 |
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