Grannum, Keisha
Grannum, Keisha is an sole proprietor health care provider with primary practice located at 10434 210Th St , Queens Village NY 11429-1420. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Grannum, Keisha can be contacted via phone (347) 678-1488.Contact Information
Primary practice address
10434 210Th St
Queens Village NY 11429-1420
Phone: (347) 678-1488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 0189291 | New York |
Profile Details
| NPI number | 1245564897 |
|---|---|
| LBN Legal business name | Grannum, Keisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2009 |
| Last updated | Sep 30th, 2009 - about 17 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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