Grandy, Thomas Gerard
Grandy, Thomas Gerard is an sole proprietor health care provider with primary practice located at 706 N. 129Th Street Suite 114, Omaha NE 68154. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Grandy, Thomas Gerard can be contacted via phone (402) 301-4587.Contact Information
Primary practice address
706 N. 129Th Street Suite 114
Omaha NE 68154
Phone: (402) 301-4587
Fax: (402) 445-8892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 95 | Nebraska |
Profile Details
| NPI number | 1053485821 |
|---|---|
| LBN Legal business name | Grandy, Thomas Gerard |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Aug 8th, 2023 - about 2 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 | 1053485821 | NPPES |
| Nebraska | MEDICAID | 47069167300 |
Popular Providers
-
Kraft, Robert Glen
11905 Arbor St , Omaha NE 68144-2970 -
Dittmer-Mcmahon, Karen I
8200 Dodge St Children'S Family Support Center, Omaha NE 68114-4113 -
Newring, Reo Wexner
1000 N 90Th St Suite 200, Omaha NE 68114 -
Neise, Michael Robert
809 S 174Th St , Omaha NE 68118-3540 -
Mckee, Todd Kevin
9239 W Center Rd Ste 211, Omaha NE 68124-1900 -
Mcneilly, Dennis P
988102 Nebraska Medical Ctr , Omaha NE 68198-8102 -
Legino, Mary Quattrocchi
4917 Underwood Ave , Omaha NE 68132-2421 -
Stewart, Donna L
5074 Ames Ave , Omaha NE 68104-2323