Neifeld, Grant Barrie

Neifeld, Grant Barrie is an individual health care provider with primary practice located at 8881 Fletcher Pkwy , La Mesa CA 91942-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Neifeld, Grant Barrie can be contacted via phone (619) 460-3311.

Contact Information

Primary practice address
8881 Fletcher Pkwy La Mesa CA 91942-3134
Phone: (619) 460-3311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A49419 California
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A49419 California

Profile Details

NPI number 1215900683
LBN Legal business name Neifeld, Grant Barrie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Dec 8th, 2021 - about 3 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 1215900683 NPPES
California MEDICAID ZZZ36915Z

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