Graceffa, Brent Thomas
Graceffa, Brent Thomas is an sole proprietor health care provider with primary practice located at 107 Strawbridge Dr , Rockton IL 61072-2957. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Graceffa, Brent Thomas can be contacted via phone (760) 212-1995.Contact Information
Primary practice address
107 Strawbridge Dr
Rockton IL 61072-2957
Phone: (760) 212-1995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1306255641 |
|---|---|
| LBN Legal business name | Graceffa, Brent Thomas |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2014 |
| Last updated | Aug 12th, 2014 - about 10 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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