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
Phone: (601) 703-9222
Fax: (601) 703-6770
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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