Grack, David M

Grack, David M is an individual health care provider with primary practice located at 225 Baldwin Ave , Charlotte NC 28204-3109. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Grack, David M can be contacted via phone (704) 376-1605.

Contact Information

Primary practice address
225 Baldwin Ave Charlotte NC 28204-3109
Phone: (704) 376-1605
Fax: (704) 376-1605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA002518L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-06205 North Carolina

Profile Details

NPI number 1871599035
LBN Legal business name Grack, David M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Dec 14th, 2020 - about 4 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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