Ms. Suzette M Grant, INDIVIDUAL
Preferred Provider Organization in Columbia Falls, Maine
1306982780- Practice location
- 860 Tibbettstown RD, Columbia Falls, ME 04623-5021
- Phone
- 207-483-2883
- Fax
- —
- Last updated
- July 8, 2007
Suzette M Grant is a Preferred Provider Organization based in Columbia Falls, ME. Suzette M Grant practices in Columbia Falls, ME and has the professional credentials of INDIVIDUAL. The NPI Number for Suzette M Grant is 1306982780 and holds a License No. 3002032 (ME). The current practice location address for Suzette M Grant is 860 Tibbettstown RD, Columbia Falls, ME 04623-5021 and can be reached out via phone at 207-483-2883.
Provider Profile Details
- NPI Number
- 1306982780
- Provider Name
- Suzette M Grant
- Credential
- INDIVIDUAL
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 860 Tibbettstown RD, Columbia Falls, ME 04623-5021
- Phone Number
- 207-483-2883
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 30, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 860 Tibbettstown RD
Columbia Falls, ME 04623-5021 - City
- Columbia Falls
- State
- Maine
- Zip
- 04623-5021
- Phone Number
- 207-483-2883
Provider Business Mailing Address Details
- Address
- 860 Tibbettstown RD
Columbia Falls, ME 04623-5021 - City
- Columbia Falls
- State
- ME
- Zip
- 04623-5021
- Phone Number
- 207-483-2883
License Information
- License Number
- 3002032
- License State
- ME
- Taxonomy
- Preferred Provider Organization · 305R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Preferred Provider Organization providers near Columbia Falls, ME
View all Preferred Provider Organization providers in Columbia Falls →Frequently Asked Questions
What is the NPI number of Ms. Suzette M Grant, INDIVIDUAL?
The NPI number of Ms. Suzette M Grant, INDIVIDUAL is 1306982780. It was assigned on January 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Suzette M Grant, INDIVIDUAL?
Ms. Suzette M Grant, INDIVIDUAL is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in ME under license number 3002032.
Where does Ms. Suzette M Grant, INDIVIDUAL practice?
The practice location is 860 Tibbettstown RD, Columbia Falls, ME 04623-5021. The office can be reached at 207-483-2883 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306982780 directly on the NPPES registry website.