Grant, Pamela Jo

Grant, Pamela Jo is an individual health care provider with primary practice located at 830 Sw Lane St , Topeka KS 66606-2487. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Grant, Pamela Jo can be contacted via phone (785) 354-5952.

Contact Information

Primary practice address
830 Sw Lane St Topeka KS 66606-2487
Phone: (785) 354-5952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 111304 Missouri
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 04-25791 Kansas

Profile Details

NPI number 1174507214
LBN Legal business name Grant, Pamela Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 31st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174507214 NPPES
Kansas MEDICAID 100179790B
Kansas Other 068002417

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