Granger, John Michael
Granger, John Michael is an individual health care provider with primary practice located at 2106 Harrisburg Pike Suite 301, Lancaster PA 17604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Granger, John Michael can be contacted via phone (717) 544-3517.Contact Information
Primary practice address
2106 Harrisburg Pike Suite 301
Lancaster PA 17604
Phone: (717) 544-3517
Fax: (717) 544-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | C10008084 | Delaware |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD436668 | Pennsylvania |
Profile Details
| NPI number | 1467462630 |
|---|---|
| LBN Legal business name | Granger, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jun 28th, 2011 - about 14 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 | 1467462630 | NPPES |
| Pennsylvania | Other | 082109 | MEDICARE PTAN/GROUP ID NUMBER |
| Pennsylvania | Other | P00340818 | MEDICARE PTAN/GROUP ID NUMBER |
| Pennsylvania | MEDICAID | 102039150 | MEDICARE PTAN/GROUP ID NUMBER |
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