Granger, Bradford D

Granger, Bradford D is an individual health care provider with primary practice located at 2110 Harrisburg Pike Suite 100, Lancaster PA 17604-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Granger, Bradford D can be contacted via phone (717) 544-3191.

Contact Information

Primary practice address
2110 Harrisburg Pike Suite 100 Lancaster PA 17604-3200
Phone: (717) 544-3191
Fax: (717) 544-3637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD421982 Pennsylvania

Profile Details

NPI number 1083603526
LBN Legal business name Granger, Bradford D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 5th, 2007 - about 19 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 1083603526 NPPES
Pennsylvania MEDICAID 0019597180001
Pennsylvania Other 1441611
Pennsylvania Other P004950
Pennsylvania Other H67285
Pennsylvania Other 1531655
Pennsylvania Other 50012584
Pennsylvania Other 83116 S1QA
Pennsylvania Other P00065632
Pennsylvania Other 7684425
Pennsylvania Other 1130420

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