Grabow, Kenneth R
Grabow, Kenneth R is an individual health care provider with primary practice located at 1200 N Tustin Ave Ste 100, Santa Ana CA 92705-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Grabow, Kenneth R can be contacted via phone (714) 542-5999.Contact Information
Primary practice address
1200 N Tustin Ave Ste 100
Santa Ana CA 92705-3508
Phone: (714) 542-5999
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G66481 | California |
Profile Details
NPI number | 1629089529 |
---|---|
LBN Legal business name | Grabow, Kenneth R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2006 |
Last updated | Oct 13th, 2010 - about 14 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 | 1629089529 | NPPES |
California | Other | 183774600 | DEPT OF LABOR |
California | MEDICAID | G66481 | DEPT OF LABOR |
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