Grant, John Andrew
Grant, John Andrew is an individual health care provider with primary practice located at 100 Merrick Road Suite 100W, Rockville Centre NY 11570. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Grant, John Andrew can be contacted via phone (516) 632-7050.Contact Information
Primary practice address
100 Merrick Road Suite 100W
Rockville Centre NY 11570
Phone: (516) 632-7050
Fax: (516) 632-7074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 0101282051 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 036-084798 | Illinois |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 264268 | New York |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 04-31027 | Kansas |
Profile Details
| NPI number | 1093701278 |
|---|---|
| LBN Legal business name | Grant, John Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | May 9th, 2024 - about last year |
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 | 1093701278 | NPPES |
| Missouri | MEDICAID | 208392217 | |
| Missouri | Other | 513490 | |
| Missouri | MEDICAID | 100149820D | |
| Missouri | Other | 32553028 |
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