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 12 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 |
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