Hurley, Grant Allen
Hurley, Grant Allen is an individual health care provider with primary practice located at 19021 Us Highway 285 , La Jara CO 81140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hurley, Grant Allen can be contacted via phone (719) 274-5121.Contact Information
Primary practice address
19021 Us Highway 285
La Jara CO 81140
Phone: (719) 274-5121
Fax: (719) 274-6003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 24232 | Colorado |
Profile Details
| NPI number | 1346225539 |
|---|---|
| LBN Legal business name | Hurley, Grant Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Sep 20th, 2011 - about 13 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 | 1346225539 | NPPES |
| Colorado | MEDICAID | 01242320 |
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