Grant, Robert

Grant, Robert is an individual health care provider with primary practice located at 1144 N Road St Ste 200 , Elizabeth City NC 27909-3473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Grant, Robert can be contacted via phone (252) 384-2360.

Contact Information

Primary practice address
1144 N Road St Ste 200 Elizabeth City NC 27909-3473
Phone: (252) 384-2360
Fax: (252) 384-2359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101250123 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 26510 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101250123 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2003-01234 North Carolina

Profile Details

NPI number 1396752770
LBN Legal business name Grant, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Apr 23rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396752770 NPPES
Kentucky Other 200016599 RR MEDICARE
Kentucky Other 4229925 RR MEDICARE
Kentucky Other 000000048618 RR MEDICARE
Kentucky MEDICAID 65939795 RR MEDICARE

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