Grant, Marc B
Grant, Marc B is an individual health care provider with primary practice located at 708 S Coeur D Alene Ln , Payson AZ 85541-5662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Grant, Marc B can be contacted via phone (928) 468-1337.Contact Information
Primary practice address
708 S Coeur D Alene Ln
Payson AZ 85541-5662
Phone: (928) 468-1337
Fax: (928) 468-1339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 1609 | Arizona |
Profile Details
| NPI number | 1700857125 |
|---|---|
| LBN Legal business name | Grant, Marc B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Sep 15th, 2012 - about 12 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 | 1700857125 | NPPES |
| Arizona | Other | H20777190 | BXBS |
| Arizona | MEDICAID | 285280 | BXBS |
Popular Providers
-
Erickson, Cyrus C
1909 Mallory Ln Ste 302 , Franklin TN 37067-2843 -
Revelis, Andreas Frank
10810 E 45Th St Ste 400 , Tulsa OK 74146-3806 -
Mccarty, Matthew F.
5200 Davis Lane Ste B200, Austin TX 78749 -
Vigna, Lucia
24 Stevens St , Norwalk CT 06850-3852 -
Smith, Michael A
24 Stevens St , Norwalk CT 06850-3852 -
Zacharakos, Dino George
99 E River Dr 5Th Floor, East Hartford CT 06108-3288 -
Leone, William H
5801 Crossings Blvd , Antioch TN 37013-3130 -
Martucci, Martin Leo
10810 E 45Th St Ste 400 , Tulsa OK 74146-3806