Grant, Stefan Charles
Grant, Stefan Charles is an individual health care provider with primary practice located at 1430 Tulane Ave # 8016 , New Orleans LA 70112-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Grant, Stefan Charles can be contacted via phone (504) 988-7518.Contact Information
Primary practice address
1430 Tulane Ave # 8016
New Orleans LA 70112-2632
Phone: (504) 988-7518
Fax: (504) 988-8252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2014-02170 | North Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 30801 | Alabama |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 335796 | Louisiana |
Profile Details
| NPI number | 1407979032 |
|---|---|
| LBN Legal business name | Grant, Stefan Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jun 2nd, 2023 - about 2 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 | 1407979032 | NPPES |
| Alabama | Other | 051116824 | BCBS |
| Alabama | Other | 051116827 | BCBS |
| Alabama | MEDICAID | 128723 | BCBS |
| Alabama | MEDICAID | 128725 | BCBS |
| Alabama | Other | 051116826 | BCBS |
| Alabama | MEDICAID | 09003745 | BCBS |
| Alabama | Other | 051116825 | BCBS |
| Alabama | MEDICAID | 128724 | BCBS |
| Alabama | MEDICAID | 128760 | BCBS |
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