Richard Locke Grant in Peoria - Forensic Psychiatry

Richard Locke Grant - NPI 1174623433

Richard Locke Grant is a Forensic Psychiatry in Peoria, Illinois. Richard Locke Grant practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Richard Locke Grant is 1174623433. The last update date is 2009-01-19.

Richard Locke Grant's current location address is 709 Townes Court, Peoria, Illinois. You can contact this provider via phone number 3096925550 and fax number 3096925553. The mailing address for Richard Locke Grant is 709 Townes Court, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Locke Grant
Address 709 Townes Court, Peoria, Illinois
Phone Number 3096925550
Fax Number 3096925553
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1174623433
Provider Enumeration Date 2006-09-25
Last Updated Date 2009-01-19

Provider Mailing Address Detail

Address 709 Townes Court
City Peoria
State Illinois (IL)
Post Code 616151387
Phone Number 3096925550
Fax Number 3096925553

Provider's Primary Taxonomy Detail

Speciality Forensic Psychiatry
Taxonomy 2084F0202X
Licence No 036-066475
Definition:
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo

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FAQs about Richard Locke Grant

What is the unique identifier code issued to Richard Locke Grant by the Centers for Medicare & Medicaid Services?

The Richard Locke Grant has been assigned the NPI (National Provider Identifier) 1174623433. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Richard Locke Grant?

The Richard Locke Grant is situated at 709 Townes Court, in the city of Peoria, state of IL, with the zip code 616151387.

What is Richard Locke Grant's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard Locke Grant is Forensic Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084F0202X.

On what date did the Richard Locke Grant receive its 1174623433 assignment from the Centers for Medicare & Medicaid Services?

The Richard Locke Grant was assigned its 1174623433 by the Centers for Medicare & Medicaid Services on 2006-09-25.

As of what date were the details pertaining to Richard Locke Grant last refreshed?

The information related to the Richard Locke Grant, including its address, specialty, and other relevant details, was last updated on 2009-01-19.

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