Lord, Jonathan Grant

Lord, Jonathan Grant is an sole proprietor health care provider with primary practice located at 1801 16Th St , Greeley CO 80631-5154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lord, Jonathan Grant can be contacted via phone (970) 352-4121.

Contact Information

Primary practice address
1801 16Th St Greeley CO 80631-5154
Fax: (970) 515-6576
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19999 Colorado

Profile Details

NPI number 1164471009
LBN Legal business name Lord, Jonathan Grant
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Jun 10th, 2011 - about 15 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 1164471009 NPPES
Colorado MEDICAID 01199991

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