Granstrom, Per
Granstrom, Per is an individual health care provider with primary practice located at 2028 E Prince Rd , Tucson AZ 85719-2005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Granstrom, Per can be contacted via phone (520) 874-3500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 22167 | Arizona |
Profile Details
| NPI number | 1851365647 |
|---|---|
| LBN Legal business name | Granstrom, Per |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | May 15th, 2008 - 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 | 1851365647 | NPPES |
| Arizona | MEDICAID | 299182 | |
| Arizona | Other | 300088215 |
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