Nakamura, Grant Jiro
Nakamura, Grant Jiro is an individual health care provider with primary practice located at 923 G St , Reedley CA 93654-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nakamura, Grant Jiro can be contacted via phone (559) 637-1050.Contact Information
Primary practice address
923 G St
Reedley CA 93654-2626
Phone: (559) 637-1050
Fax: (559) 637-1476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G50552 | California |
Profile Details
| NPI number | 1053305334 |
|---|---|
| LBN Legal business name | Nakamura, Grant Jiro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Mar 4th, 2019 - about 7 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 | 1053305334 | NPPES |
| California | MEDICAID | 00G505520 |
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