Grant, Karl W

Grant, Karl W is an sole proprietor health care provider with primary practice located at 5001 Lake Ave , Saint Joseph MO 64504-1170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grant, Karl W can be contacted via phone (162) 387-7888.

Contact Information

Primary practice address
5001 Lake Ave Saint Joseph MO 64504-1170
Phone: (162) 387-7888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-25402 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2016008771 Missouri

Profile Details

NPI number 1336571900
LBN Legal business name Grant, Karl W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2013
Last updated Nov 20th, 2023 - about 3 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 1336571900 NPPES
Missouri MEDICAID 1336571900

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