Deyo, Grace Marie

Deyo, Grace Marie is an sole proprietor health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Deyo, Grace Marie can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2654
Phone: (614) 722-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN.CNP.09603 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.09603 Ohio

Profile Details

NPI number 1215121041
LBN Legal business name Deyo, Grace Marie
Credentials CPNP-PC, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2007
Last updated Feb 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215121041 NPPES
Ohio MEDICAID 3015516
Ohio Other H179601

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