Granger, Mark Joseph

Granger, Mark Joseph is an individual health care provider with primary practice located at 4223 Orange Beach Blvd Suite D, Orange Beach AL 36561-3459. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Granger, Mark Joseph can be contacted via phone (251) 981-1300.

Contact Information

Primary practice address
4223 Orange Beach Blvd Suite D Orange Beach AL 36561-3459
Phone: (251) 981-1300
Fax: (251) 981-1305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTH3635 Alabama

Profile Details

NPI number 1134140304
LBN Legal business name Granger, Mark Joseph
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Mar 27th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134140304 NPPES
Alabama Other 1003819608 GROUP NPI
Alabama Other 510-02352 GROUP NPI
Alabama MEDICAID 890015200 GROUP NPI
Alabama Other DB9027 GROUP NPI

Popular Providers