Grabovac, Irene Chryssovalantou
Grabovac, Irene Chryssovalantou is an sole proprietor health care provider with primary practice located at 2535 Hale St , Avon OH 44011-1856. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grabovac, Irene Chryssovalantou can be contacted via phone (440) 934-8810.Contact Information
Primary practice address
2535 Hale St
Avon OH 44011-1856
Phone: (440) 934-8810
Fax: (440) 934-8811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 15784-NP | Ohio |
Profile Details
| NPI number | 1518356864 |
|---|---|
| LBN Legal business name | Grabovac, Irene Chryssovalantou |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2015 |
| Last updated | Jun 16th, 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 | 1518356864 | NPPES |
| Ohio | MEDICAID | 0117875 |
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