Granquist, Eric
Granquist, Eric is an individual health care provider with primary practice located at 3400 Spruce St 5Th Floor White Bld, Philadelphia PA 19104-4206. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Granquist, Eric can be contacted via phone (215) 662-3580.Contact Information
Primary practice address
3400 Spruce St 5Th Floor White Bld
Philadelphia PA 19104-4206
Phone: (215) 662-3580
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS036793 | Pennsylvania |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DS036793 | Pennsylvania |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD439011 | Pennsylvania |
Profile Details
NPI number | 1922291335 |
---|---|
LBN Legal business name | Granquist, Eric |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2007 |
Last updated | Jul 25th, 2023 - about last year |
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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