Wilson, Grant

Wilson, Grant is an individual health care provider with primary practice located at 802 Kenyon Rd , Fort Dodge IA 50501-5740. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Grant can be contacted via phone (515) 573-3101.

Contact Information

Primary practice address
802 Kenyon Rd Fort Dodge IA 50501-5740
Phone: (515) 573-3101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 079688 Iowa

Profile Details

NPI number 1558738963
LBN Legal business name Wilson, Grant
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2015
Last updated Sep 2nd, 2015 - about 11 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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