Granados, Nicanor G

Granados, Nicanor G is an individual health care provider with primary practice located at 1555 Schuylkill Ave , Reading PA 19601-1312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Granados, Nicanor G can be contacted via phone (610) 378-0107.

Contact Information

Primary practice address
1555 Schuylkill Ave Reading PA 19601-1312
Phone: (610) 378-0107
Fax: (610) 378-7984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD014870E Pennsylvania

Profile Details

NPI number 1639178353
LBN Legal business name Granados, Nicanor G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 9th, 2007 - about 18 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 1639178353 NPPES
Pennsylvania Other 116351 PA BLUE SHIELD
Pennsylvania Other 01145201 PA BLUE SHIELD

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