Grace, Darrell Lynnn

Grace, Darrell Lynnn is an individual health care provider with primary practice located at 822 Kumho Dr Ste 202 , Fairlawn OH 44333-5105. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Grace, Darrell Lynnn can be contacted via phone (330) 576-0500.

Contact Information

Primary practice address
822 Kumho Dr Ste 202 Fairlawn OH 44333-5105
Fax: (330) 576-0467
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34006142OH Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 34006142OH Ohio

Profile Details

NPI number 1396709697
LBN Legal business name Grace, Darrell Lynnn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Aug 3rd, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396709697 NPPES
Ohio MEDICAID 0382401

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