Grant, Sandra Rue
Grant, Sandra Rue is an individual health care provider with primary practice located at 1501 Kings Highway Department Of Pediatrics/Neonatology, Shreveport LA 71103-4228. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Grant, Sandra Rue can be contacted via phone (318) 675-7880.Contact Information
Primary practice address
1501 Kings Highway Department Of Pediatrics/Neonatology
Shreveport LA 71103-4228
Phone: (318) 675-7880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.06216R | Louisiana |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD.06216R | Louisiana |
Profile Details
| NPI number | 1639192685 |
|---|---|
| LBN Legal business name | Grant, Sandra Rue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 21st, 2018 - about 6 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 | 1639192685 | NPPES |
| Louisiana | MEDICAID | 1343838 |
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