Grant, Charles Dean
Grant, Charles Dean is an individual health care provider with primary practice located at 1970 Roanoke Blvd , Salem VA 24153-6404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Grant, Charles Dean can be contacted via phone (540) 982-2463.Contact Information
Primary practice address
1970 Roanoke Blvd
Salem VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 224-1933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101239660 | Virginia |
Profile Details
| NPI number | 1790700128 |
|---|---|
| LBN Legal business name | Grant, Charles Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Oct 28th, 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 | 1790700128 | NPPES |
| Virginia | MEDICAID | 010267838 |
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