Roderer, Grant T
Roderer, Grant T is an individual health care provider with primary practice located at 1917 Abbott Rd Suite 100, Anchorage AK 99507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Roderer, Grant T can be contacted via phone (907) 278-2741.Contact Information
Primary practice address
1917 Abbott Rd Suite 100
Anchorage AK 99507
Phone: (907) 278-2741
Fax: (907) 743-8284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | AK4470 | Alaska |
Profile Details
| NPI number | 1437170586 |
|---|---|
| LBN Legal business name | Roderer, Grant T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Feb 27th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437170586 | NPPES |
| Alaska | MEDICAID | MD0183 |
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