Grant, Carolina

Grant, Carolina is an sole proprietor health care provider with primary practice located at 4131 N 24Th St Ste B102 , Phoenix AZ 85016-6231. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Lactation Consultant, Non-RN. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Grant, Carolina can be contacted via phone (480) 882-4545.

Contact Information

Primary practice address
4131 N 24Th St Ste B102 Phoenix AZ 85016-6231
Phone: (480) 882-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86106922 Arizona
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-305659

Profile Details

NPI number 1538896915
LBN Legal business name Grant, Carolina
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2022
Last updated Dec 30th, 2022 - about 4 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 1538896915 NPPES
Arizona MEDICAID 150093

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