Grant, Patrick C.
Grant, Patrick C. is an sole proprietor health care provider with primary practice located at 2902 S 74Th St , Tacoma WA 98409-5911. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Grant, Patrick C. can be contacted via phone (253) 471-9999.Contact Information
Primary practice address
2902 S 74Th St
Tacoma WA 98409-5911
Phone: (253) 471-9999
Fax: (253) 474-2337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000196 | Washington |
Profile Details
| NPI number | 1790007714 |
|---|---|
| LBN Legal business name | Grant, Patrick C. |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2010 |
| Last updated | Feb 18th, 2010 - about 14 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 | 1790007714 | NPPES |
| Washington | MEDICAID | 5025085 |
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