Grandison, Garfield Alexander

Grandison, Garfield Alexander is an individual health care provider with primary practice located at 613 23Rd St Ste 430 , Ashland KY 41101-2885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Grandison, Garfield Alexander can be contacted via phone (606) 408-8200.

Contact Information

Primary practice address
613 23Rd St Ste 430 Ashland KY 41101-2885
Phone: (606) 408-8200
Fax: (606) 408-6291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35.132779 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 42842 Kentucky

Profile Details

NPI number 1598884041
LBN Legal business name Grandison, Garfield Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Mar 15th, 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 1598884041 NPPES
Kentucky MEDICAID 7100207000
Kentucky Other P00665875
Kentucky MEDICAID 0066758
Kentucky MEDICAID 3810023286

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