Grant, Johnathan R

Grant, Johnathan R is an individual health care provider with primary practice located at 520 S 7Th St , Vincennes IN 47591. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Grant, Johnathan R can be contacted via phone (812) 885-3243.

Contact Information

Primary practice address
520 S 7Th St Vincennes IN 47591
Phone: (812) 885-3243
Fax: (812) 885-3915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02004177A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101017295 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 02004177A Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 02004177A Indiana

Profile Details

NPI number 1740272251
LBN Legal business name Grant, Johnathan R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jan 11th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740272251 NPPES
Indiana Other 258190112 MEDICARE
Indiana Other 000000820667 MEDICARE
Indiana MEDICAID 201152480 MEDICARE

Popular Providers