Grant, Frederick Y.

Grant, Frederick Y. is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Grant, Frederick Y. can be contacted via phone (601) 703-9222.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Fax: (601) 703-6770
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11861 Mississippi

Profile Details

NPI number 1356323190
LBN Legal business name Grant, Frederick Y.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 6th, 2013 - about 13 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 1356323190 NPPES
Other P00113820 RAILROAD MEDICARE
Other 730-13076 RAILROAD MEDICARE
MEDICAID 009940615 RAILROAD MEDICARE
MEDICAID 00115825 RAILROAD MEDICARE

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