Fidalgo, Grace Jepchirchir
Fidalgo, Grace Jepchirchir is an sole proprietor health care provider with primary practice located at 6222 Hedgecroft Ave S , Cottage Grove MN 55016-6002. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Related Providers / Home Health Aide, Agencies / Foster Care Agency. Agencies / Foster Care Agency is her primary health care specialty. Fidalgo, Grace Jepchirchir can be contacted via phone (612) 859-8250.Contact Information
Primary practice address
6222 Hedgecroft Ave S
Cottage Grove MN 55016-6002
Phone: (612) 859-8250
Fax: (651) 330-5351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Home Health | 163WH0200X | 2441890 | Minnesota |
Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
Agencies / Foster Care Agency | 253J00000X | 1099897 | Minnesota |
Profile Details
NPI number | 1730722745 |
---|---|
LBN Legal business name | Fidalgo, Grace Jepchirchir |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 22nd, 2019 |
Last updated | Apr 12th, 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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