Grant, Robert J

Grant, Robert J is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Grant, Robert J can be contacted via phone (802) 748-8141.

Contact Information

Primary practice address
1315 Hospital Dr St Johnsbury VT 05819-9210
Phone: (802) 748-8141
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036928 Connecticut
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042.0013666 Vermont

Profile Details

NPI number 1275531477
LBN Legal business name Grant, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Feb 23rd, 2017 - about 7 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 1275531477 NPPES
Connecticut MEDICAID 001369289

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