Gradolph, Janet

Gradolph, Janet is an sole proprietor health care provider with primary practice located at 30200 Telegraph Rd Suite 220, Bingham Farms MI 48025-4502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gradolph, Janet can be contacted via phone (248) 258-5058.

Contact Information

Primary practice address
30200 Telegraph Rd Suite 220 Bingham Farms MI 48025-4502
Phone: (248) 258-5058
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4704089263 Michigan

Profile Details

NPI number 1619933272
LBN Legal business name Gradolph, Janet
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2006
Last updated Mar 24th, 2015 - about 9 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 1619933272 NPPES
Michigan MEDICAID 104670688

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