Granzow, Paul R.

Granzow, Paul R. is an individual health care provider with primary practice located at 181 Daniel Rd , Forest City NC 28043-7151. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Granzow, Paul R. can be contacted via phone (828) 286-9036.

Contact Information

Primary practice address
181 Daniel Rd Forest City NC 28043-7151
Phone: (828) 286-9036
Fax: (828) 286-1079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 101884 North Carolina

Profile Details

NPI number 1104908748
LBN Legal business name Granzow, Paul R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 31st, 2016 - about 10 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 1104908748 NPPES
North Carolina MEDICAID 8101814
North Carolina MEDICAID 1104908748
North Carolina Other 970027367

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