Grajales, Grace K.
Grajales, Grace K. is an sole proprietor health care provider with primary practice located at 305 Flanders Rd , East Lyme CT 06333-1743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grajales, Grace K. can be contacted via phone (860) 739-0348.Contact Information
Primary practice address
305 Flanders Rd
East Lyme CT 06333-1743
Phone: (860) 739-0348
Fax: (860) 739-6779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4274 | Connecticut |
Profile Details
| NPI number | 1982767786 |
|---|---|
| LBN Legal business name | Grajales, Grace K. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1982767786 | NPPES |
| Connecticut | MEDICAID | 008039710 | |
| Connecticut | MEDICAID | 008072609 |
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