Grant, Brydon J.B.

Grant, Brydon J.B. is an sole proprietor health care provider with primary practice located at 10712 S 1300 E , Sandy UT 84094-5094. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Grant, Brydon J.B. can be contacted via phone (800) 258-5329.

Contact Information

Primary practice address
10712 S 1300 E Sandy UT 84094-5094
Phone: (800) 258-5329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 5868721-1205 Utah
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 154772 New York
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X North Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X Illinois

Profile Details

NPI number 1962490128
LBN Legal business name Grant, Brydon J.B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Mar 3rd, 2008 - about 17 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 1962490128 NPPES
New York MEDICAID 02506141

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