Carson, Grant Allan
Carson, Grant Allan is an individual health care provider with primary practice located at 11700 N Meridian St , Carmel IN 46032-4656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Carson, Grant Allan can be contacted via phone (317) 577-4200.Contact Information
Primary practice address
11700 N Meridian St
Carmel IN 46032-4656
Phone: (317) 577-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01072829 | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11015407A | Indiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01072829A | Indiana |
Profile Details
| NPI number | 1407175763 |
|---|---|
| LBN Legal business name | Carson, Grant Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2010 |
| Last updated | Dec 4th, 2023 - about last year |
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 | 1407175763 | NPPES |
| Indiana | Other | Q00372285 | RAILROAD PTAN |
| Indiana | Other | P01424290 | RAILROAD PTAN |
| Indiana | MEDICAID | 201107560 | RAILROAD PTAN |
| Indiana | Other | 264430B90 | RAILROAD PTAN |
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