Grant, Brenda K

Grant, Brenda K is an individual health care provider with primary practice located at 1813 Sumner Ave , Aberdeen WA 98520-4600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grant, Brenda K can be contacted via phone (360) 538-1293.

Contact Information

Primary practice address
1813 Sumner Ave Aberdeen WA 98520-4600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37451 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00049240 Washington

Profile Details

NPI number 1326195629
LBN Legal business name Grant, Brenda K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Dec 11th, 2019 - about 6 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 1326195629 NPPES
Iowa MEDICAID 0476044
Iowa MEDICAID 8512212

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