Shifflett, Grant Daniel
Shifflett, Grant Daniel is an individual health care provider with primary practice located at 13160 Mindanao Way Suite 300, Marina Del Rey CA 90292-6358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Shifflett, Grant Daniel can be contacted via phone (310) 574-0400.Contact Information
Primary practice address
13160 Mindanao Way Suite 300
Marina Del Rey CA 90292-6358
Phone: (310) 574-0400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | A143697 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 036138615 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 271020 | New York |
Profile Details
NPI number | 1932423456 |
---|---|
LBN Legal business name | Shifflett, Grant Daniel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2010 |
Last updated | Nov 10th, 2016 - about 8 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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