Grady, James J

Grady, James J is an individual health care provider with primary practice located at 1300 W Lodi Ave , Lodi CA 95242-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grady, James J can be contacted via phone (209) 366-1990.

Contact Information

Primary practice address
1300 W Lodi Ave Lodi CA 95242-3000
Phone: (209) 366-1990
Fax: (209) 366-2169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A26041 California

Profile Details

NPI number 1629036413
LBN Legal business name Grady, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Nov 13th, 2019 - about 6 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 1629036413 NPPES
California MEDICAID 00A260410

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