Grant, Gavin Lester
Grant, Gavin Lester is an individual health care provider with primary practice located at 1400 Bristol St N #170, Newport Beach CA 92660-2911. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grant, Gavin Lester can be contacted via phone (949) 851-5119.Contact Information
Primary practice address
1400 Bristol St N #170
Newport Beach CA 92660-2911
Phone: (949) 851-5119
Fax: (949) 851-6269
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | DC24812 | California |
Profile Details
NPI number | 1568446615 |
---|---|
LBN Legal business name | Grant, Gavin Lester |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2005 |
Last updated | Jul 8th, 2007 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568446615 | NPPES |
California | Other | DC024812 | BLUE SHIELD PROVIDER |
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