Barranco-Laxamana, Grace Abigaille

Barranco-Laxamana, Grace Abigaille is an sole proprietor health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Barranco-Laxamana, Grace Abigaille can be contacted via phone (920) 288-8000.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MTL004220 District of Columbia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 72857 Wisconsin

Profile Details

NPI number 1912427469
LBN Legal business name Barranco-Laxamana, Grace Abigaille
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2017
Last updated Nov 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912427469 NPPES
Wisconsin MEDICAID 1000102364

Popular Providers