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
Fax: (602) 222-3025
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447692793 NPPES
Texas MEDICAID 112409104
Texas Other 1861493140

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