Grant, David Jonathan

Grant, David Jonathan is an individual health care provider with primary practice located at 600 Gresham Dr , Norfolk VA 23507-1904. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grant, David Jonathan can be contacted via phone (757) 473-0055.

Contact Information

Primary practice address
600 Gresham Dr Norfolk VA 23507-1904
Phone: (757) 473-0055
Fax: (757) 473-0075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024165006 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3350272 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2238 South Carolina

Profile Details

NPI number 1851337695
LBN Legal business name Grant, David Jonathan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 21st, 2016 - about 8 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 1851337695 NPPES
South Carolina MEDICAID AN0808

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