Grace, Kathleen
Grace, Kathleen is an sole proprietor health care provider with primary practice located at 27525 Martindale Rd , New Hudson MI 48165-9601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, which is considered as her primary health care specialty. Grace, Kathleen can be contacted via phone (313) 802-6926.Contact Information
Primary practice address
27525 Martindale Rd
New Hudson MI 48165-9601
Phone: (313) 802-6926
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X |
Profile Details
NPI number | 1164614665 |
---|---|
LBN Legal business name | Grace, Kathleen |
Credentials | MS OTR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 17th, 2007 |
Last updated | Aug 17th, 2007 - about 17 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 | 1164614665 | NPPES |
Michigan | Other | P28700001 | MEDICARE PART B PROVIDER |
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