Gratian, Richard Warren

Gratian, Richard Warren is an sole proprietor health care provider with primary practice located at 1540 Florida Ave Ste 205, Modesto CA 95350-4430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Gratian, Richard Warren can be contacted via phone (209) 529-1275.

Contact Information

Primary practice address
1540 Florida Ave Ste 205 Modesto CA 95350-4430
Phone: (209) 529-1275
Fax: (209) 529-3464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X G36443 California

Profile Details

NPI number 1487608477
LBN Legal business name Gratian, Richard Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2006
Last updated Mar 17th, 2008 - about 16 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 1487608477 NPPES
California MEDICAID 00G364430

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