Grandy, Dennis Wayne

Grandy, Dennis Wayne is an sole proprietor health care provider with primary practice located at 3939 J St Suite 270, Sacramento CA 95819-3631. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Grandy, Dennis Wayne can be contacted via phone (916) 454-3668.

Contact Information

Primary practice address
3939 J St Suite 270 Sacramento CA 95819-3631
Phone: (916) 454-3668
Fax: (916) 454-9255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3293 California

Profile Details

NPI number 1841286861
LBN Legal business name Grandy, Dennis Wayne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Apr 15th, 2021 - 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 1841286861 NPPES
California MEDICAID 000E32930

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