Alfred Granson Jr Md Llc

LBN: Alfred Granson Jr Md Llc
Alfred Granson Jr Md Llc is an health care organization with primary practice located at 70 Madison Rd , Mansfield OH 44905-2831. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Alfred Granson Jr Md Llc can be contacted via phone (419) 589-9700, or through Gretzinger, Alfred Eugene via phone (419) 589-9700.

Contact Information

Primary practice address
70 Madison Rd Mansfield OH 44905-2831
Phone: (419) 589-9700
Fax: (419) 589-2731
Website:
Map and Directions
Authorized official contact:
Name: Gretzinger, Alfred Eugene Doctor of Medicine (MD)
Phone: (419) 589-9700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1598088528
LBN Legal business name Alfred Granson Jr Md Llc
DBA Doing business as
Authorized official Gretzinger, Alfred Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2010
Last updated Mar 4th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598088528 NPPES
Ohio MEDICAID 2136683

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