Su, Grant Wei-Siang
Su, Grant Wei-Siang is an individual health care provider with primary practice located at 301 N 8Th St , Springfield IL 62701-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Su, Grant Wei-Siang can be contacted via phone (217) 528-7541.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036117645 | Illinois |
Profile Details
| NPI number | 1386723781 |
|---|---|
| LBN Legal business name | Su, Grant Wei-Siang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2006 |
| Last updated | May 19th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386723781 | NPPES |
| Illinois | MEDICAID | 036117645 |
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