Grandquist, Richard Martin
Grandquist, Richard Martin is an individual health care provider with primary practice located at 400 N Pepper Ave Ste 107 , Colton CA 92324-1801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Grandquist, Richard Martin can be contacted via phone (650) 996-8240.Contact Information
Primary practice address
400 N Pepper Ave Ste 107
Colton CA 92324-1801
Phone: (650) 996-8240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 51840 | California |
Profile Details
| NPI number | 1578962049 |
|---|---|
| LBN Legal business name | Grandquist, Richard Martin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2014 |
| Last updated | Aug 20th, 2014 - about 11 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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