Granata, Jaymes D

Granata, Jaymes D is an individual health care provider with primary practice located at 10105 Banburry Cross Dr Ste 445 , Las Vegas NV 89144-6645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Granata, Jaymes D can be contacted via phone (702) 765-0884.

Contact Information

Primary practice address
10105 Banburry Cross Dr Ste 445 Las Vegas NV 89144-6645
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 15569 Nevada

Profile Details

NPI number 1073720678
LBN Legal business name Granata, Jaymes D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Mar 17th, 2021 - about 3 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 1073720678 NPPES
Nevada MEDICAID 1073720678

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