Grant, Garry D

Grant, Garry D is an sole proprietor health care provider with primary practice located at 2055 Mud Creek Rd , Eureka MT 59917-9070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Grant, Garry D can be contacted via phone (812) 424-2020.

Contact Information

Primary practice address
2055 Mud Creek Rd Eureka MT 59917-9070
Phone: (812) 424-2020
Fax: (812) 424-3000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MED-PHYS-LIC-57501 Montana

Profile Details

NPI number 1962497677
LBN Legal business name Grant, Garry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Nov 18th, 2022 - about 2 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 1962497677 NPPES
Other 000000042320 ANTHEM
MEDICAID 64878010 ANTHEM
MEDICAID 200000980 ANTHEM
Other 259157 ANTHEM
Other 4500741 ANTHEM

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