Gerner, Grant
Gerner, Grant is an individual health care provider with primary practice located at 539 Harkle Rd Suite B, Santa Fe NM 87505-4782. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gerner, Grant can be contacted via phone (505) 795-7735.Contact Information
Primary practice address
539 Harkle Rd Suite B
Santa Fe NM 87505-4782
Phone: (505) 795-7735
Fax: (505) 795-7732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 90-196 | New Mexico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 90-196 | New Mexico |
Profile Details
| NPI number | 1407924293 |
|---|---|
| LBN Legal business name | Gerner, Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 19th, 2022 - about 3 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 | 1407924293 | NPPES |
| New Mexico | MEDICAID | F9204 | |
| New Mexico | Other | 30154 |
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