Grannum, Edith
Grannum, Edith is an individual health care provider with primary practice located at 1815 Clinton Ave S Ste 330 , Rochester NY 14618-5717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grannum, Edith can be contacted via phone (585) 461-6004.Contact Information
Primary practice address
1815 Clinton Ave S Ste 330
Rochester NY 14618-5717
Phone: (585) 461-6004
Fax: (585) 461-6009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 210929 | New York |
Profile Details
| NPI number | 1821060237 |
|---|---|
| LBN Legal business name | Grannum, Edith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 21st, 2012 - about 12 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 | 1821060237 | NPPES |
| New York | MEDICAID | 01894408 |
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