Grant, Peter Alan
Grant, Peter Alan is an sole proprietor health care provider with primary practice located at 473 Murphy Rd , Medford OR 97504-8143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Grant, Peter Alan can be contacted via phone (541) 772-3200.Contact Information
Primary practice address
473 Murphy Rd
Medford OR 97504-8143
Phone: (541) 772-3200
Fax: (541) 772-1048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD14454 | Oregon |
Profile Details
| NPI number | 1992862296 |
|---|---|
| LBN Legal business name | Grant, Peter Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Nov 12th, 2013 - about 13 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 | 1992862296 | NPPES |
| Oregon | MEDICAID | 124271 |
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