Grant, Philip Wayne
Grant, Philip Wayne is an individual health care provider with primary practice located at 6 Tsienneto Rd Ste 100Ll , Derry NH 03038-1584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Grant, Philip Wayne can be contacted via phone (603) 883-4636.Contact Information
Primary practice address
6 Tsienneto Rd Ste 100Ll
Derry NH 03038-1584
Phone: (603) 883-4636
Fax: (603) 883-6854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 8056 | New Hampshire |
Profile Details
| NPI number | 1134107527 |
|---|---|
| LBN Legal business name | Grant, Philip Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Mar 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134107527 | NPPES |
| New Hampshire | MEDICAID | 3072627 |
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