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Contact Information

BENJAMIN J GRANDY, DO
7950 W JEFFERSON BLVD
FORT WAYNE, IN46804
 Phone: 260-435-7001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BENJAMIN J GRANDY · (Male)

NPI Number 1285976571
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/25/2013
Last updated 01/02/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 02005096A
  • IN Medicaid 300004384
  • OH Medicaid 0245549
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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