JOHNATHAN R GRANT, DO, Pulmonary Disease VINCENNES, IN

Contact Information

JOHNATHAN R GRANT, DO

520 S 7TH ST
VINCENNES, IN 47591

Phone: 812-885-3243
Fax: 812-885-3915
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pulmonary Disease	207RP1001X	11	Physician/Internal Medicine
Critical Care Medicine	207RC0200X	11	Physician/Internal Medicine
Internal Medicine	207R00000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for JOHNATHAN R GRANT · (Male)

NPI #	`1740272251`
Status	Active
Credentials	DO (Doctor of Osteopathic)
Entity	Individual
Enumeration date	08/19/2005
Last updated	01/11/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	IN License # 02004177A MI License # 5101017295 IN Medicaid 201152480 IN Other 000000820667 ANTHEM IN Other 258190112 MEDICARE
Hospital affiliation(s)	CRAWFORD MEMORIAL HOSPITAL - (Critical Access) 1000 NORTH ALLEN STREET ROBINSON, IL 62454 DAVIESS COMMUNITY HOSPITAL - (Acute Care) 1314 E WALNUT ST WASHINGTON, IN 47501 GOOD SAMARITAN HOSPITAL - (Acute Care) 520 S 7TH ST VINCENNES, IN 47591

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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