Alfred Granson is a Specialist in Mansfield, Ohio. Alfred Granson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alfred Granson is 1124128491. The last update date is 2011-08-04.
Alfred Granson's current location address is 70 Madison Rd, Mansfield, Ohio. You can contact this provider via phone number 4195899700 and fax number 4195892731. The mailing address for Alfred Granson is 70 Madison Rd, Mansfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alfred Granson |
|---|---|
| Address | 70 Madison Rd, Mansfield, Ohio |
| Phone Number | 4195899700 |
| Fax Number | 4195892731 |
| Sole Proprietor | Y |
| Credentials | M.D., LLC |
NPI Number Detail
| NPI Number | 1124128491 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2011-08-04 |
Provider Mailing Address Detail
| Address | 70 Madison Rd |
|---|---|
| City | Mansfield |
| State | Ohio (OH) |
| Post Code | 449052831 |
| Phone Number | 4195899700 |
| Fax Number | 4195892731 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 35072595G |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2136683 | OH | -- | |
| P00818354 | OH | RAILROAD MEDICARE GROUP | |
| 142322 | OH | ANTHEM BC/BS OF OHIO | |
| DQ1487 | OH | RAILROAD MEDICARE INDIVIDUAL | |
| 9387391 | OH | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Alfred Granson by the Centers for Medicare & Medicaid Services?
The Alfred Granson has been issued the NPI (National Provider Identifier) 1124128491, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Alfred Granson located?
The Alfred Granson is located at 70 Madison Rd, Mansfield, OH 449052831.
What is the area of specialization for Alfred Granson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alfred Granson is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the Alfred Granson's 1124128491 issued?
The Alfred Granson's 1124128491 was issued on 2006-09-25.
When was the information related to Alfred Granson most recently updated or refreshed?
The details pertaining to the Alfred Granson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-04.