Grant, Rodney

Grant, Rodney is an individual health care provider with primary practice located at 2817 Saint Johns Blvd , Joplin MO 64804-1563. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grant, Rodney can be contacted via phone (417) 781-2727.

Contact Information

Primary practice address
2817 Saint Johns Blvd Joplin MO 64804-1563
Phone: (417) 781-2727
Fax: (417) 625-2279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 106257 Missouri

Profile Details

NPI number 1407823024
LBN Legal business name Grant, Rodney
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Feb 10th, 2012 - about 12 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 1407823024 NPPES
Kansas MEDICAID 100254770E
Kansas MEDICAID 100788080A
Kansas MEDICAID 918159534

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