Grant, Richard Locke

Grant, Richard Locke is an sole proprietor health care provider with primary practice located at 709 Townes Court , Peoria IL 61615-1387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as his primary health care specialty. Grant, Richard Locke can be contacted via phone (309) 692-5550.

Contact Information

Primary practice address
709 Townes Court Peoria IL 61615-1387
Phone: (309) 692-5550
Fax: (309) 692-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 036-066475 Illinois

Profile Details

NPI number 1174623433
LBN Legal business name Grant, Richard Locke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jan 19th, 2009 - about 15 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.

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