Grant, Anthony Wayne
Grant, Anthony Wayne is an individual health care provider with primary practice located at 908 Russell Road , Columbia KY 42728. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grant, Anthony Wayne can be contacted via phone (270) 384-3270.Contact Information
Primary practice address
908 Russell Road
Columbia KY 42728
Phone: (270) 384-3270
Fax: (270) 384-3271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4303 | Kentucky |
Profile Details
| NPI number | 1013003631 |
|---|---|
| LBN Legal business name | Grant, Anthony Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 8th, 2014 - about 12 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 | 1013003631 | NPPES |
| Kentucky | Other | 000000330968 | BLUE CROSS PIN |
| Kentucky | MEDICAID | 85900413 | BLUE CROSS PIN |
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