Grab, Edmundo Manuel

Grab, Edmundo Manuel is an individual health care provider with primary practice located at 1701 12Th Ave Building A, Altoona PA 16601-3100. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Grab, Edmundo Manuel can be contacted via phone (814) 944-7097.

Contact Information

Primary practice address
1701 12Th Ave Building A Altoona PA 16601-3100
Phone: (814) 944-7097
Fax: (814) 944-5557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD016323E Pennsylvania

Profile Details

NPI number 1790786457
LBN Legal business name Grab, Edmundo Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790786457 NPPES
Pennsylvania MEDICAID 0006902800003

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