Grant, Michael J
Grant, Michael J is an individual health care provider with primary practice located at 2865 Chancellor Dr Ste 205 , Crestview Hills KY 41017-3931. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Grant, Michael J can be contacted via phone (859) 341-9900.Contact Information
Primary practice address
2865 Chancellor Dr Ste 205
Crestview Hills KY 41017-3931
Phone: (859) 341-9900
Fax: (859) 341-1649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 244156 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36003524 | Ohio |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | K237 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 244156 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 244156 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 244156 | Kentucky |
Profile Details
| NPI number | 1306940408 |
|---|---|
| LBN Legal business name | Grant, Michael J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Mar 16th, 2022 - about 2 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 | 1306940408 | NPPES |
| Kentucky | Other | 000000304180 | BLUES |
| Kentucky | Other | 000000636981 | BLUES |
| Kentucky | MEDICAID | 80002371 | BLUES |
| Kentucky | Other | 4949440001 | BLUES |
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