Neifeld, Grant Barrie
Neifeld, Grant Barrie is an individual health care provider with primary practice located at 8881 Fletcher Pkwy , La Mesa CA 91942-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Neifeld, Grant Barrie can be contacted via phone (619) 460-3311.Contact Information
Primary practice address
8881 Fletcher Pkwy
La Mesa CA 91942-3134
Phone: (619) 460-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A49419 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | A49419 | California |
Profile Details
| NPI number | 1215900683 |
|---|---|
| LBN Legal business name | Neifeld, Grant Barrie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Dec 8th, 2021 - about 5 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 | 1215900683 | NPPES |
| California | MEDICAID | ZZZ36915Z |
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