Granger, Edward Claude
Granger, Edward Claude is an individual health care provider with primary practice located at 4301 Sergeant Rd Ste 109 , Sioux City IA 51106. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is his primary health care specialty. Granger, Edward Claude can be contacted via phone (712) 293-2222.Contact Information
Primary practice address
4301 Sergeant Rd Ste 109
Sioux City IA 51106
Phone: (712) 293-2222
Fax: (712) 293-2491
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 765 | Nebraska |
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | Iowa | |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | Iowa |
Profile Details
NPI number | 1811240849 |
---|---|
LBN Legal business name | Granger, Edward Claude |
Credentials | H.I.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2012 |
Last updated | Nov 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811240849 | NPPES |
Nebraska | MEDICAID | 10025747800 |
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