Grandon, Paul W.
Grandon, Paul W. is an individual health care provider with primary practice located at 55 Maui Lani Pkwy , Wailuku HI 96793-2416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grandon, Paul W. can be contacted via phone (808) 243-6050.Contact Information
Primary practice address
55 Maui Lani Pkwy
Wailuku HI 96793-2416
Phone: (808) 243-6050
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-21227 | Hawaii |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 017275 | Louisiana |
Profile Details
NPI number | 1215908959 |
---|---|
LBN Legal business name | Grandon, Paul W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Jul 25th, 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 | 1215908959 | NPPES |
Louisiana | Other | 017275 | LICENSE |
Louisiana | MEDICAID | 1364738 | LICENSE |
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