Grant, Stephen Bernard

Grant, Stephen Bernard is an individual health care provider with primary practice located at 1449 Nw 128Th St , Clive IA 50325-7400. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Sleep Specialist, PhD, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Grant, Stephen Bernard can be contacted via phone (515) 358-9600.

Contact Information

Primary practice address
1449 Nw 128Th St Clive IA 50325-7400
Fax: (515) 358-9650
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Sleep Specialist, PhD 173F00000X 38506 Iowa
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD-38506 Iowa

Profile Details

NPI number 1013026798
LBN Legal business name Grant, Stephen Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated May 1st, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013026798 NPPES
Iowa MEDICAID 0167122

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