Grady, Ian P
Grady, Ian P is an sole proprietor health care provider with primary practice located at 1335 Buenaventura Blvd Ste 204 , Redding CA 96001-0160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grady, Ian P can be contacted via phone (530) 243-5551.Contact Information
Primary practice address
1335 Buenaventura Blvd Ste 204
Redding CA 96001-0160
Phone: (530) 243-5551
Fax: (530) 245-0572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G73597 | California |
Profile Details
| NPI number | 1215951371 |
|---|---|
| LBN Legal business name | Grady, Ian P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jan 17th, 2014 - about 11 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 | 1215951371 | NPPES |
| California | MEDICAID | 00G735970 |
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