Hormell, J. Grant
Hormell, J. Grant is an sole proprietor health care provider with primary practice located at 2612 Pleasant Valley Blvd , Altoona PA 16602-4420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hormell, J. Grant can be contacted via phone (814) 944-9355.Contact Information
Primary practice address
2612 Pleasant Valley Blvd
Altoona PA 16602-4420
Phone: (814) 944-9355
Fax: (814) 696-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD040654L | Pennsylvania |
Profile Details
| NPI number | 1073513669 |
|---|---|
| LBN Legal business name | Hormell, J. Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 3rd, 2008 - about 17 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 | 1073513669 | NPPES |
| Pennsylvania | MEDICAID | 0012449780006 |
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