Esan, Grace
Esan, Grace is an individual health care provider with primary practice located at 2522 Waterbridge Way , Evansville IN 47710-3200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Esan, Grace can be contacted via phone (812) 422-6886.Contact Information
Primary practice address
2522 Waterbridge Way
Evansville IN 47710-3200
Phone: (812) 422-6886
Fax: (812) 428-5508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01056843 | Indiana |
Profile Details
| NPI number | 1811982895 |
|---|---|
| LBN Legal business name | Esan, Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jun 20th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811982895 | NPPES |
| Indiana | MEDICAID | 200405340 |
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