Grant, Pamela Jo

Grant, Pamela Jo is an sole proprietor health care provider with primary practice located at 585 Sheridan Rd , Noblesville IN 46060-1317. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Grant, Pamela Jo can be contacted via phone (317) 219-0354.

Contact Information

Primary practice address
585 Sheridan Rd Noblesville IN 46060-1317
Fax: (317) 219-3083
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08002113A Indiana

Profile Details

NPI number 1598859605
LBN Legal business name Grant, Pamela Jo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598859605 NPPES
Indiana Other 331140672-01 SAGAMORE
Indiana Other 703858 SAGAMORE
Indiana MEDICAID 200838160 A SAGAMORE
Indiana Other 000000504008 SAGAMORE

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