Geissler, Grant H
Geissler, Grant H is an individual health care provider with primary practice located at 3001 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Geissler, Grant H can be contacted via phone (813) 554-8384.Contact Information
Primary practice address
3001 W Dr Martin Luther King Jr Blvd
Tampa FL 33607-6307
Phone: (813) 554-8384
Fax: (813) 443-8160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 036078239 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | ME129728 | Florida |
Profile Details
| NPI number | 1376725101 |
|---|---|
| LBN Legal business name | Geissler, Grant H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Mar 3rd, 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 | 1376725101 | NPPES |
| Illinois | Other | 37146364501 | ADVOCATE HLTH PARTNERS ID |
| Illinois | Other | 1633575 | ADVOCATE HLTH PARTNERS ID |
| Illinois | MEDICAID | 036078239 | ADVOCATE HLTH PARTNERS ID |
| Illinois | MEDICAID | 019487300 | ADVOCATE HLTH PARTNERS ID |
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