Grange, Jacob Stuart

Grange, Jacob Stuart is an individual health care provider with primary practice located at 1032 E Jackson St , Medford OR 97504. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Grange, Jacob Stuart can be contacted via phone (541) 770-4559.

Contact Information

Primary practice address
1032 E Jackson St Medford OR 97504
Phone: (541) 770-4559
Fax: (541) 770-4511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116026086 Virginia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD186209 Oregon

Profile Details

NPI number 1508200833
LBN Legal business name Grange, Jacob Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Jun 19th, 2018 - about 6 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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