Grant, Patricia Ellen
Grant, Patricia Ellen is an individual health care provider with primary practice located at 55 Fruit St Grb 2 Neuroradiology, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Grant, Patricia Ellen can be contacted via phone (617) 726-4049.Contact Information
Primary practice address
55 Fruit St Grb 2 Neuroradiology
Boston MA 02114-2621
Phone: (617) 726-4049
Fax: (617) 724-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 157846 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 157846 | Massachusetts |
Profile Details
| NPI number | 1043242704 |
|---|---|
| LBN Legal business name | Grant, Patricia Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1043242704 | NPPES |
| Massachusetts | Other | J19320 | BCBS MA |
| Massachusetts | Other | 157846 | BCBS MA |
| Massachusetts | MEDICAID | 3184196 | BCBS MA |
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