Grand, Jeffrey E

Grand, Jeffrey E is an individual health care provider with primary practice located at 100 Hospital Rd , Prince Frederick MD 20678-4017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grand, Jeffrey E can be contacted via phone (410) 535-8295.

Contact Information

Primary practice address
100 Hospital Rd Prince Frederick MD 20678-4017
Phone: (410) 535-8295
Fax: (410) 414-4788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R129976 Maryland

Profile Details

NPI number 1528046588
LBN Legal business name Grand, Jeffrey E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Oct 20th, 2011 - about 13 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 1528046588 NPPES
Other 051037 AANA #

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