Carson, Grace
Carson, Grace is an sole proprietor health care provider with primary practice located at 4465 White Bear Pkwy , White Bear Lake MN 55110-7623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Carson, Grace can be contacted via phone (651) 653-0062.Contact Information
Primary practice address
4465 White Bear Pkwy
White Bear Lake MN 55110-7623
Phone: (651) 653-0062
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2018019964 | Missouri |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 72400 | Minnesota |
Profile Details
NPI number | 1689169989 |
---|---|
LBN Legal business name | Carson, Grace |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2018 |
Last updated | Sep 14th, 2022 - about 2 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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