Grace, Carol

Grace, Carol is an individual health care provider with primary practice located at 2020 6Th Ave , Neptune NJ 07753-6123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grace, Carol can be contacted via phone (732) 696-7654.

Contact Information

Primary practice address
2020 6Th Ave Neptune NJ 07753-6123
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00025976 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA11155800 New Jersey

Profile Details

NPI number 1649234139
LBN Legal business name Grace, Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 19th, 2024 - about 6 months 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 1649234139 NPPES
Alabama MEDICAID 009968725
Alabama MEDICAID 03627051

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