Fankhauser, Grant T

Fankhauser, Grant T is an individual health care provider with primary practice located at 838 W Elliot Rd Ste 101 , Gilbert AZ 85233-5162. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Fankhauser, Grant T can be contacted via phone (480) 374-7354.

Contact Information

Primary practice address
838 W Elliot Rd Ste 101 Gilbert AZ 85233-5162
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 37503 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 37503 Arizona

Profile Details

NPI number 1831121532
LBN Legal business name Fankhauser, Grant T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831121532 NPPES
Arizona MEDICAID 705707

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