Su, Grant Wei-Siang

Su, Grant Wei-Siang is an individual health care provider with primary practice located at 301 N 8Th St , Springfield IL 62701-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Su, Grant Wei-Siang can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
301 N 8Th St Springfield IL 62701-1041
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036117645 Illinois

Profile Details

NPI number 1386723781
LBN Legal business name Su, Grant Wei-Siang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2006
Last updated May 19th, 2020 - about 6 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 1386723781 NPPES
Illinois MEDICAID 036117645

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