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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558001065 NPPES
California MEDICAID 12345678910

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