Grant, Mel
Grant, Mel is an individual health care provider with primary practice located at 3540 Forest Hill Blvd Ste 205, West Palm Beach FL 33406-5878. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Grant, Mel can be contacted via phone (561) 649-4006.Contact Information
Primary practice address
3540 Forest Hill Blvd Ste 205
West Palm Beach FL 33406-5878
Phone: (561) 649-4006
Fax: (561) 969-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AY151 | Florida |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AY 151 | Florida |
Profile Details
| NPI number | 1598768186 |
|---|---|
| LBN Legal business name | Grant, Mel |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Dec 5th, 2014 - about 12 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 | 1598768186 | NPPES |
| Florida | Other | J0372 | BCBS |
| Florida | MEDICAID | 085230900 | BCBS |
| Florida | MEDICAID | 600037100 | BCBS |
| Florida | Other | S0526 | BCBS |
| Florida | Other | T0938 | BCBS |
| Florida | Other | 640001185 | BCBS |
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