Granger, Edward Claude

Granger, Edward Claude is an individual health care provider with primary practice located at 4301 Sergeant Rd Ste 109 , Sioux City IA 51106. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is his primary health care specialty. Granger, Edward Claude can be contacted via phone (712) 293-2222.

Contact Information

Primary practice address
4301 Sergeant Rd Ste 109 Sioux City IA 51106
Phone: (712) 293-2222
Fax: (712) 293-2491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 765 Nebraska
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X Iowa
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X Iowa

Profile Details

NPI number 1811240849
LBN Legal business name Granger, Edward Claude
Credentials H.I.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2012
Last updated Nov 14th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811240849 NPPES
Nebraska MEDICAID 10025747800

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