Grandfield, Stephen Keith

Grandfield, Stephen Keith is an individual health care provider with primary practice located at 303 W 89Th Ave Suite E1, Merrillville IN 46410-6294. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Grandfield, Stephen Keith can be contacted via phone (219) 736-8915.

Contact Information

Primary practice address
303 W 89Th Ave Suite E1 Merrillville IN 46410-6294
Phone: (219) 736-8915
Fax: (219) 736-8928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000353A Indiana

Profile Details

NPI number 1811008204
LBN Legal business name Grandfield, Stephen Keith
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 5th, 2014 - about 10 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 1811008204 NPPES
Indiana MEDICAID 100166360A
Indiana MEDICAID 100166360B
Indiana Other 1089370001
Indiana Other 480016271
Indiana MEDICAID 100207960A

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