Grant, Robert R
Grant, Robert R is an individual health care provider with primary practice located at 5514 Corporate Dr Suite 150, Saint Joseph MO 64507-7752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Grant, Robert R can be contacted via phone (816) 271-1265.Contact Information
Primary practice address
5514 Corporate Dr Suite 150
Saint Joseph MO 64507-7752
Phone: (816) 271-1265
Fax: (816) 279-7794
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 2003014163 | Missouri |
Profile Details
NPI number | 1790897908 |
---|---|
LBN Legal business name | Grant, Robert R |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2006 |
Last updated | Oct 19th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790897908 | NPPES |
Kansas | MEDICAID | 100644360B | |
Kansas | Other | P00238408 | |
Kansas | MEDICAID | 208321802 |
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