Grant, William T

Grant, William T is an sole proprietor health care provider with primary practice located at 908 E Jefferson St Suite 101, Charlottesville VA 22902-5375. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Grant, William T can be contacted via phone (434) 817-7200.

Contact Information

Primary practice address
908 E Jefferson St Suite 101 Charlottesville VA 22902-5375
Fax: (434) 817-7205
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101036663 Virginia

Profile Details

NPI number 1760485981
LBN Legal business name Grant, William T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Aug 28th, 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 1760485981 NPPES
Virginia Other 3502513 CIGNA
Virginia Other 146381 CIGNA
Virginia Other H0672 CIGNA
Virginia Other 284735 CIGNA
Virginia Other 367116 CIGNA
Virginia MEDICAID 6401082 CIGNA
Virginia Other 14105 CIGNA

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