Grant, Jed D.
Grant, Jed D. is an individual health care provider with primary practice located at 869 North Cherry Street , Tulare CA 93274-2287. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Grant, Jed D. can be contacted via phone (559) 695-3450.Contact Information
Primary practice address
869 North Cherry Street
Tulare CA 93274-2287
Phone: (559) 695-3450
Fax: (559) 685-3869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA15317 | California |
Profile Details
| NPI number | 1124064548 |
|---|---|
| LBN Legal business name | Grant, Jed D. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Feb 14th, 2011 - about 15 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 | 1124064548 | NPPES |
| California | MEDICAID | PA15312 |
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