Granson, Marc A
Granson, Marc A is an individual health care provider with primary practice located at 801 Ostrum St , Bethlehem PA 18015-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Granson, Marc A can be contacted via phone (610) 954-4646.Contact Information
Primary practice address
801 Ostrum St
Bethlehem PA 18015-1000
Phone: (610) 954-4646
Fax: (610) 954-6450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD027101E | Pennsylvania |
Profile Details
| NPI number | 1407890817 |
|---|---|
| LBN Legal business name | Granson, Marc A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 2014 - about 10 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 | 1407890817 | NPPES |
| Pennsylvania | MEDICAID | 00940604 |
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