Grandin, David Andrew
Grandin, David Andrew is an sole proprietor health care provider with primary practice located at 540 Morey Dr # 203B , Menlo Park CA 94025-5123. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Grandin, David Andrew can be contacted via phone (650) 207-5705.Contact Information
Primary practice address
540 Morey Dr # 203B
Menlo Park CA 94025-5123
Phone: (650) 207-5705
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | MT20066 | California |
Profile Details
NPI number | 1558001065 |
---|---|
LBN Legal business name | Grandin, David Andrew |
Credentials | MFCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 31st, 2022 |
Last updated | Mar 31st, 2022 - about 3 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 | 1558001065 | NPPES |
California | MEDICAID | 12345678910 |
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