Roberts, Grant D
Roberts, Grant D is an individual health care provider with primary practice located at 3110 Sw 89Th St Ste 102 , Oklahoma City OK 73159-7919. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Roberts, Grant D can be contacted via phone (405) 703-4950.Contact Information
Primary practice address
3110 Sw 89Th St Ste 102
Oklahoma City OK 73159-7919
Phone: (405) 703-4950
Fax: (405) 703-4955
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1204 | Oklahoma |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1204 | Oklahoma |
Profile Details
NPI number | 1336111483 |
---|---|
LBN Legal business name | Roberts, Grant D |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Jul 24th, 2015 - about 9 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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