Disick, Grant I
Disick, Grant I is an individual health care provider with primary practice located at 9970 Central Park Blvd N Suite 207, Boca Raton FL 33428-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Disick, Grant I can be contacted via phone (561) 487-5506.Contact Information
Primary practice address
9970 Central Park Blvd N Suite 207
Boca Raton FL 33428-2231
Phone: (561) 487-5506
Fax: (561) 487-9261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME101748 | Florida |
Profile Details
| NPI number | 1639236797 |
|---|---|
| LBN Legal business name | Disick, Grant I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Mar 16th, 2017 - about 7 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 | 1639236797 | NPPES |
| Florida | Other | P998495 | FREEDOM |
| Florida | Other | P939616 | FREEDOM |
| Florida | Other | 11999 | FREEDOM |
| Florida | Other | 58335 | FREEDOM |
| Florida | Other | 973866 | FREEDOM |
| Florida | Other | 9010497 | FREEDOM |
| Florida | Other | 1069247 | FREEDOM |
| Florida | Other | 7583920 | FREEDOM |
| Florida | Other | 319558 | FREEDOM |
| Florida | Other | 58335 | FREEDOM |
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