Grace, David Michael
Grace, David Michael is an individual health care provider with primary practice located at 110 Queen Of Peace Dr , Lafayette LA 70508-5383. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grace, David Michael can be contacted via phone (337) 354-1185.Contact Information
Primary practice address
110 Queen Of Peace Dr
Lafayette LA 70508-5383
Phone: (337) 354-1185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200024 | Louisiana |
Profile Details
| NPI number | 1225030588 |
|---|---|
| LBN Legal business name | Grace, David Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jun 11th, 2013 - about 11 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 | 1225030588 | NPPES |
| Louisiana | MEDICAID | 1575461 |
Popular Providers
-
Louis, Charles
3911 Moss St , Lafayette LA 70507-4533 -
Smothers, Ruth L
1011 Surrey Street , Lafayette LA 70509-1450 -
Saccaro, Steven Joseph
1211 Coolidge Blvd Ste 100 , Lafayette LA 70503-2638 -
Vincent, Chad Allen
4801 Ambassador Caffery Pkwy , Lafayette LA 70508-6917 -
Panelli-Ramery, Victoria E
1211 Coolidge Blvd Suite100, Lafayette LA 70503-2636 -
Yazdi, Masoud
224 Saint Landry St Suite 1-C, Lafayette LA 70506-3549 -
Lebean, Bryan Anthony
2930 Moss St Suite B, Lafayette LA 70501-1274 -
Agrama, Mahmoud Tayseer
200 Corporate Boulevard Suite 201, Lafayette LA 70508