Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT ANDERSON SR.
Active Sole ProprietorAir Carrier · GARY, IN
Registration Details
- NPI Number
- 1326441213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2014 (11.543283040067 yrs)
- Last Updated
- Oct 6, 2014
- License
-
0550-22-9431 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4353 KENTUCKY STGARY, IN, 464092339Browse IN providers · Browse ZIP 46409
- Phone
- 2196777668
- Primary Specialty
-
Air Carrier
343800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.