What is Grant Slack's NPI number?

The NPI number assigned to this healthcare provider is 1295318335, enumerated as a individual on May 5, 2021.

Where is the provider located?

The provider is located at 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 and the phone number is (304) 598-4800.

DR. GRANT M. SLACK MD - NPI 1295318335 - Student in an Organized Health Care Education/Training Program in Morgantown, WV

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Grant M. Slack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRANT M. SLACK MD (NPI 1295318335) is an individual student in an organized health care education/training program in Morgantown, West Virginia and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1295318335

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. GRANT M. SLACKCredential: MD

Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200

Mailing Address1281 Rix Mills RdNew Concord, OH 43762-3500 · (740) 630-8881

Phone(304) 598-4800

Sole ProprietorNo

Enumeration DateMay 5, 2021

NPPES CertifiedMay 5, 2021

✔ NPI 1295318335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL CENTER DR, Morgantown, WV 26506

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