Grabow, Carol Derosa
Grabow, Carol Derosa is an individual health care provider with primary practice located at 108 Dornach Way , Advance NC 27006-7305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Grabow, Carol Derosa can be contacted via phone (336) 940-2407.Contact Information
Primary practice address
108 Dornach Way
Advance NC 27006-7305
Phone: (336) 940-2407
Fax: (336) 940-2409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 102849 | North Carolina |
Profile Details
| NPI number | 1689696643 |
|---|---|
| LBN Legal business name | Grabow, Carol Derosa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689696643 | NPPES |
| North Carolina | MEDICAID | 8978751 |
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