Grant, William P

Grant, William P is an individual health care provider with primary practice located at 760 Independence Blvd Suite 1, Virginia Beach VA 23455-6206. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Grant, William P can be contacted via phone (757) 497-7575.

Contact Information

Primary practice address
760 Independence Blvd Suite 1 Virginia Beach VA 23455-6206
Phone: (757) 497-7575
Fax: (757) 490-1795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103000572 Virginia

Profile Details

NPI number 1982706685
LBN Legal business name Grant, William P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Dec 30th, 2014 - about 10 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 1982706685 NPPES
Virginia MEDICAID 9301658

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