Grant, Laurence Recio
Grant, Laurence Recio is an sole proprietor health care provider with primary practice located at 6603 Westland Dr , Brownsburg IN 46112-7415. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Grant, Laurence Recio can be contacted via phone (317) 652-9084.Contact Information
Primary practice address
6603 Westland Dr
Brownsburg IN 46112-7415
Phone: (317) 652-9084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1134676570 |
|---|---|
| LBN Legal business name | Grant, Laurence Recio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Sep 1st, 2016 - about 9 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 | 1134676570 | NPPES |
| Indiana | MEDICAID | 08292015 |
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