Grainger, Michael
Grainger, Michael is an individual health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3585. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grainger, Michael can be contacted via phone (321) 799-7192.Contact Information
Primary practice address
701 W Cocoa Beach Cswy
Cocoa Beach FL 32931-3585
Phone: (321) 799-7192
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 200500993 | North Carolina |
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ME98264 | Florida |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 200500993 | North Carolina |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME98264 | Florida |
Profile Details
NPI number | 1952426983 |
---|---|
LBN Legal business name | Grainger, Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2007 |
Last updated | Nov 20th, 2020 - about 4 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 | 1952426983 | NPPES |
Other | 04621 | BCBS | |
Other | AD657X | BCBS | |
Other | M9568 | BCBS | |
MEDICAID | 104337300 | BCBS |
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