Gratkins, Lawrence Vincent
Gratkins, Lawrence Vincent is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 2800, Normal IL 61761-3551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gratkins, Lawrence Vincent can be contacted via phone (309) 454-1074.Contact Information
Primary practice address
1302 Franklin Ave Suite 2800
Normal IL 61761-3551
Phone: (309) 454-1074
Fax: (309) 454-3554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036059120 | Illinois |
Profile Details
| NPI number | 1912003013 |
|---|---|
| LBN Legal business name | Gratkins, Lawrence Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Feb 27th, 2024 - about 7 months 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 | 1912003013 | NPPES |
| Illinois | MEDICAID | 036059120 |
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