Granja, Jorge

Granja, Jorge is an individual health care provider with primary practice located at 516 Delaware Street Se Ump Surgery Clinic, Minneapolis MN 55455-0356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Granja, Jorge can be contacted via phone (612) 884-0649.

Contact Information

Primary practice address
516 Delaware Street Se Ump Surgery Clinic Minneapolis MN 55455-0356
Phone: (612) 884-0649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33290 Minnesota

Profile Details

NPI number 1619912169
LBN Legal business name Granja, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 30th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619912169 NPPES
Minnesota MEDICAID 8345228000

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