Grimes, John Vanloon

Grimes, John Vanloon is an individual health care provider with primary practice located at 1800 Mulberry St M. C. 68-74, Scranton PA 18510-6800. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Grimes, John Vanloon can be contacted via phone (570) 703-7245.

Contact Information

Primary practice address
1800 Mulberry St M. C. 68-74 Scranton PA 18510-6800
Phone: (570) 703-7245
Fax: (570) 703-7325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA057958 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X OA003665 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA057958 Pennsylvania

Profile Details

NPI number 1740659762
LBN Legal business name Grimes, John Vanloon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Aug 31st, 2020 - about 5 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 1740659762 NPPES
Pennsylvania Other 466481 MEDICARE

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