Etnyre, Grant

Etnyre, Grant is an individual health care provider with primary practice located at 16111 Plummer St Department Of Physical Medicine (117), North Hills CA 91343-2036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Etnyre, Grant can be contacted via phone (818) 891-7711.

Contact Information

Primary practice address
16111 Plummer St Department Of Physical Medicine (117) North Hills CA 91343-2036
Phone: (818) 891-7711
Fax: (818) 895-9458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 36096765 Illinois

Profile Details

NPI number 1255360764
LBN Legal business name Etnyre, Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 17 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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