Mellor, Reed Grant

Mellor, Reed Grant is an individual health care provider with primary practice located at 7373 West Ln , Stockton CA 95210-3377. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mellor, Reed Grant can be contacted via phone (209) 476-3094.

Contact Information

Primary practice address
7373 West Ln Stockton CA 95210-3377
Phone: (209) 476-3094
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A97111 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34996 Iowa

Profile Details

NPI number 1881687465
LBN Legal business name Mellor, Reed Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jan 10th, 2022 - about 4 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 1881687465 NPPES
Iowa Other 420681060B8 RAILROAD MEDICARE
Iowa Other G021 RAILROAD MEDICARE
Iowa MEDICAID 02B6930 RAILROAD MEDICARE
Iowa Other 34171 RAILROAD MEDICARE
Iowa Other 220789 RAILROAD MEDICARE

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