Grandia, Ronn A.

Grandia, Ronn A. is an individual health care provider with primary practice located at 12075 Jerrys Run Rd , Apple Grove WV 25502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grandia, Ronn A. can be contacted via phone (304) 546-0854.

Contact Information

Primary practice address
12075 Jerrys Run Rd Apple Grove WV 25502
Phone: (304) 546-0854
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-06-1980 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 18530 West Virginia

Profile Details

NPI number 1720032238
LBN Legal business name Grandia, Ronn A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Oct 31st, 2019 - about 6 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 1720032238 NPPES
Ohio Other 310917085052 CARESOURCE MEDICAID
Ohio Other 000901380 CARESOURCE MEDICAID
Ohio Other 000000181638 CARESOURCE MEDICAID
Ohio Other 0848051 CARESOURCE MEDICAID
Ohio MEDICAID 0848051 CARESOURCE MEDICAID
Ohio MEDICAID 1720032238 CARESOURCE MEDICAID
Ohio Other 000000211735 CARESOURCE MEDICAID

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