Bryan, Michael Grant
Bryan, Michael Grant is an individual health care provider with primary practice located at 4488 S Pecos Rd , Las Vegas NV 89121-5030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bryan, Michael Grant can be contacted via phone (702) 436-1001.Contact Information
Primary practice address
4488 S Pecos Rd
Las Vegas NV 89121-5030
Phone: (702) 436-1001
Fax: (702) 436-7999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 11335 | Nevada |
Profile Details
| NPI number | 1356443196 |
|---|---|
| LBN Legal business name | Bryan, Michael Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jan 31st, 2013 - about 12 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 | 1356443196 | NPPES |
| Nevada | Other | P01115811 | RR MEDICARE |
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