Grk, Dejana
Grk, Dejana is an individual health care provider with primary practice located at 1331 N 7Th St , Phoenix AZ 85006. She recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as her primary health care specialty. Grk, Dejana can be contacted via phone (602) 222-2234.Contact Information
Primary practice address
1331 N 7Th St
Phoenix AZ 85006
Phone: (602) 222-2234
Fax: (602) 222-3025
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPT33832 | California |
Profile Details
NPI number | 1447692793 |
---|---|
LBN Legal business name | Grk, Dejana |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2013 |
Last updated | Jul 31st, 2018 - about 7 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 | 1447692793 | NPPES |
Texas | MEDICAID | 112409104 | |
Texas | Other | 1861493140 |
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