Granberg, Steven J
Granberg, Steven J is an individual health care provider with primary practice located at 13131 Tesson Ferry Rd Suite #105, Saint Louis MO 63128-3887. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Granberg, Steven J can be contacted via phone (314) 756-8035.Contact Information
Primary practice address
13131 Tesson Ferry Rd Suite #105
Saint Louis MO 63128-3887
Phone: (314) 756-8035
Fax: (314) 756-8050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 104051 | Missouri |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 104051 | Missouri |
Profile Details
| NPI number | 1881673382 |
|---|---|
| LBN Legal business name | Granberg, Steven J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Feb 15th, 2024 - about 10 months 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 | 1881673382 | NPPES |
| Missouri | MEDICAID | 208256917 |
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