Nybakken, Grant
Nybakken, Grant is an individual health care provider with primary practice located at 3400 Spruce St 1 Maloney, Philadelphia PA 19104-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Nybakken, Grant can be contacted via phone (215) 662-3957.Contact Information
Primary practice address
3400 Spruce St 1 Maloney
Philadelphia PA 19104-4238
Phone: (215) 662-3957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | MT193042 | Pennsylvania |
Profile Details
| NPI number | 1104088400 |
|---|---|
| LBN Legal business name | Nybakken, Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2008 |
| Last updated | Dec 15th, 2021 - 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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