Ko, Grant Norman

Ko, Grant Norman is an sole proprietor health care provider with primary practice located at 1400 Pottery Ave , Port Orchard WA 98366-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ko, Grant Norman can be contacted via phone (360) 895-5000.

Contact Information

Primary practice address
1400 Pottery Ave Port Orchard WA 98366-3711
Phone: (360) 895-5000
Fax: (360) 895-5034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA06989400 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X PT 12664 North Dakota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G49179 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00024074 Washington

Profile Details

NPI number 1275657454
LBN Legal business name Ko, Grant Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Sep 23rd, 2022 - about 4 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 1275657454 NPPES
North Dakota MEDICAID 17852

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