Grant, Fitzclaud
Grant, Fitzclaud is an sole proprietor health care provider with primary practice located at 444 Elmont Rd , Elmont NY 11003-3529. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Grant, Fitzclaud can be contacted via phone (516) 488-3581.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 178889 | New York |
Profile Details
| NPI number | 1194893990 |
|---|---|
| LBN Legal business name | Grant, Fitzclaud |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1194893990 | NPPES |
| New York | MEDICAID | 01222251 |
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