Grant, Alisa Diane
Grant, Alisa Diane is an sole proprietor health care provider with primary practice located at 230 Venture Cir , Nashville TN 37228-1604. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Grant, Alisa Diane can be contacted via phone (615) 460-4100.Contact Information
Primary practice address
230 Venture Cir
Nashville TN 37228-1604
Phone: (615) 460-4100
Fax: (615) 460-4100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 000-1005 | Tennessee |
Profile Details
| NPI number | 1174142129 |
|---|---|
| LBN Legal business name | Grant, Alisa Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2020 |
| Last updated | Apr 10th, 2020 - about 6 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 | 1174142129 | NPPES |
| Tennessee | Other | ZEB908011644 | BLUE CROSS BLUE SHEILD |
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