Vorster, Grant
Vorster, Grant is an individual health care provider with primary practice located at 81833 Dr Carreon Blvd Suite 5, Indio CA 92201-0602. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vorster, Grant can be contacted via phone (760) 863-2241.Contact Information
Primary practice address
81833 Dr Carreon Blvd Suite 5
Indio CA 92201-0602
Phone: (760) 863-2241
Fax: (760) 863-1919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12440T | California |
Profile Details
| NPI number | 1457432221 |
|---|---|
| LBN Legal business name | Vorster, Grant |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Apr 29th, 2014 - 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 | 1457432221 | NPPES |
| California | MEDICAID | SD0124400 |
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