Van Scoyoc, Grant R.

Van Scoyoc, Grant R. is an individual health care provider with primary practice located at 20375 W 151St St Suite 306, Olathe KS 66061-5306. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Van Scoyoc, Grant R. can be contacted via phone (913) 782-2292.

Contact Information

Primary practice address
20375 W 151St St Suite 306 Olathe KS 66061-5306
Phone: (913) 782-2292
Fax: (913) 782-2381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 13-89164-042 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 556890 Kansas

Profile Details

NPI number 1114152998
LBN Legal business name Van Scoyoc, Grant R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2009
Last updated Mar 3rd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114152998 NPPES
Kansas MEDICAID 200619700A
Kansas Other P00743805

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