Grant, James Gary

Grant, James Gary is an sole proprietor health care provider with primary practice located at 830 Bayview Ave , Pacific Grove CA 93950-2511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grant, James Gary can be contacted via phone (831) 373-2322.

Contact Information

Primary practice address
830 Bayview Ave Pacific Grove CA 93950-2511
Fax: (831) 373-5210
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G38783 California

Profile Details

NPI number 1578665535
LBN Legal business name Grant, James Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Dec 23rd, 2021 - about 4 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 1578665535 NPPES
California MEDICAID 00G387830

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