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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952426983 NPPES
Other 04621 BCBS
Other AD657X BCBS
Other M9568 BCBS
MEDICAID 104337300 BCBS

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