Grandon, Brian Scott

Grandon, Brian Scott is an individual health care provider with primary practice located at 173 M 66 N , Charlevoix MI 49720-9338. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Grandon, Brian Scott can be contacted via phone (231) 903-4620.

Contact Information

Primary practice address
173 M 66 N Charlevoix MI 49720-9338
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3501008986 Michigan

Profile Details

NPI number 1922504380
LBN Legal business name Grandon, Brian Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Apr 4th, 2018 - about 7 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 1922504380 NPPES
Michigan Other 3501008986 HEARING AID SALES LICENSE MICHIGAN

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