Canon, Grace

Canon, Grace is an individual health care provider with primary practice located at 1400 E Boulder St Ste 2508 , Colorado Springs CO 80909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Canon, Grace can be contacted via phone (719) 365-6999.

Contact Information

Primary practice address
1400 E Boulder St Ste 2508 Colorado Springs CO 80909
Phone: (719) 365-6999
Fax: (719) 365-2837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 008194 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X ANT.0000107 Colorado

Profile Details

NPI number 1932642444
LBN Legal business name Canon, Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2016
Last updated Feb 27th, 2019 - about 5 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.

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