De Jong, Gracia
De Jong, Gracia is an sole proprietor health care provider with primary practice located at 55 Clairedan Dr , Powell OH 43065-8064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. De Jong, Gracia can be contacted via phone (614) 888-8989.Contact Information
Primary practice address
55 Clairedan Dr
Powell OH 43065-8064
Phone: (614) 888-8989
Fax: (614) 888-8968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.141481 | Ohio |
Profile Details
| NPI number | 1154827061 |
|---|---|
| LBN Legal business name | De Jong, Gracia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2018 |
| Last updated | Jan 11th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154827061 | NPPES |
| Ohio | Other | H771400 | CGS MEDICARE |
| Ohio | MEDICAID | 0435440 | CGS MEDICARE |
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