Individual
DR. PAMELA JO GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
585 SHERIDAN RD, NOBLESVILLE, IN 46060-1317
(317) 219-0354
(317) 219-3083
Mailing address
585 SHERIDAN RD, NOBLESVILLE, IN 46060-1317
(317) 219-0354
(317) 219-3083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002113A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000504008
ANTHEM BC/BS
IN
05
—
200838160 A
—
IN
01
—
331140672-01
SAGAMORE
IN
01
—
703858
UNITED HEALTH CARE
IN
Enumeration date
10/03/2006
Last updated
05/14/2014
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