Prendergast, Andrew Grant

Prendergast, Andrew Grant is an individual health care provider with primary practice located at 601 Cleveland Ave Nw , Canton OH 44702-1836. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is his primary health care specialty. Prendergast, Andrew Grant can be contacted via phone (330) 455-0374.

Contact Information

Primary practice address
601 Cleveland Ave Nw Canton OH 44702-1836
Phone: (330) 455-0374
Fax: (330) 453-6716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Prevention Professional 405300000X OCPSA.161356 Ohio

Profile Details

NPI number 1104309335
LBN Legal business name Prendergast, Andrew Grant
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2018
Last updated Oct 25th, 2019 - about 5 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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