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
Phone: (702) 765-0884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 1073720678 | NPPES |
| Nevada | MEDICAID | 1073720678 |
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