Grady, Jacquelin
Grady, Jacquelin is an sole proprietor health care provider with primary practice located at 20901 Chesterfield Ave , South Chesterfield VA 23803-1903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grady, Jacquelin can be contacted via phone (804) 526-3500.Contact Information
Primary practice address
20901 Chesterfield Ave
South Chesterfield VA 23803-1903
Phone: (804) 526-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0110008900 | Virginia |
Profile Details
| NPI number | 1265193023 |
|---|---|
| LBN Legal business name | Grady, Jacquelin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2022 |
| Last updated | May 19th, 2023 - about last year |
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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