Mcgranahan, Mark Edward

Mcgranahan, Mark Edward is an individual health care provider with primary practice located at 1230 George E. Chance Parkway , Caseyville IL 62232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcgranahan, Mark Edward can be contacted via phone (618) 345-5437.

Contact Information

Primary practice address
1230 George E. Chance Parkway Caseyville IL 62232
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-111323 Illinois

Profile Details

NPI number 1215922000
LBN Legal business name Mcgranahan, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Aug 13th, 2008 - about 18 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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