Granaghan, John T
Granaghan, John T is an individual health care provider with primary practice located at 4235 Southwest Blvd , San Angelo TX 76904-5635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Granaghan, John T can be contacted via phone (325) 658-1511.Contact Information
Primary practice address
4235 Southwest Blvd
San Angelo TX 76904-5635
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E8518 | Texas |
Profile Details
| NPI number | 1083676787 |
|---|---|
| LBN Legal business name | Granaghan, John T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Nov 3rd, 2016 - about 8 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 | 1083676787 | NPPES |
| Texas | MEDICAID | 102667603 | |
| Texas | Other | 8P1401 | |
| Texas | Other | E8518 |
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