Granquist, Rachel Marie
Granquist, Rachel Marie is an individual health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Granquist, Rachel Marie can be contacted via phone (508) 941-7000.Contact Information
Primary practice address
680 Centre St
Brockton MA 02302-3308
Phone: (508) 941-7000
Fax: (508) 941-6337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1117 | Massachusetts |
Profile Details
| NPI number | 1073718938 |
|---|---|
| LBN Legal business name | Granquist, Rachel Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1073718938 | NPPES |
| Massachusetts | MEDICAID | 1200283 |
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