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
Phone: (434) 817-7200
Fax: (434) 817-7205
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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