Grandone, John T.

Grandone, John T. is an individual health care provider with primary practice located at 200 Theda Clark Medical Plz Suite 350, Neenah WI 54956-2721. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Grandone, John T. can be contacted via phone (920) 729-2710.

Contact Information

Primary practice address
200 Theda Clark Medical Plz Suite 350 Neenah WI 54956-2721
Phone: (920) 729-2710
Fax: (920) 727-4511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21696 Wisconsin
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 21696 Wisconsin

Profile Details

NPI number 1467480681
LBN Legal business name Grandone, John T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 27th, 2015 - about 10 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 1467480681 NPPES
Wisconsin MEDICAID 30246700
Wisconsin Other 711290180
Wisconsin Other 450030783

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