Grant, Jonathan Douglas
Grant, Jonathan Douglas is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Grant, Jonathan Douglas can be contacted via phone (801) 507-3888.Contact Information
Primary practice address
5121 S Cottonwood St
Murray UT 84107-5701
Phone: (801) 507-3888
Fax: (801) 442-3263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | AU3354177 | Texas |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2015-00676 | North Carolina |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 38030 | South Carolina |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 10124565-1205 | Utah |
Profile Details
| NPI number | 1861738189 |
|---|---|
| LBN Legal business name | Grant, Jonathan Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2012 |
| Last updated | Jan 12th, 2017 - about 8 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 | 1861738189 | NPPES |
| South Carolina | MEDICAID | GA1773 | |
| South Carolina | MEDICAID | 1861738189 |
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