Grant, Paul M
Grant, Paul M is an individual health care provider with primary practice located at 2861 Tricom St , N Charleston SC 29406-9172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grant, Paul M can be contacted via phone (843) 797-5511.Contact Information
Primary practice address
2861 Tricom St
N Charleston SC 29406-9172
Phone: (843) 797-5511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 7647 | South Carolina |
Profile Details
| NPI number | 1760598007 |
|---|---|
| LBN Legal business name | Grant, Paul M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Oct 6th, 2009 - about 16 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 | 1760598007 | NPPES |
| South Carolina | Other | 180034151 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | 076474 | RAILROAD MEDICARE |
| South Carolina | Other | 1760598007 | RAILROAD MEDICARE |
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