King, Marie Grace

King, Marie Grace is an individual health care provider with primary practice located at 5319 Hoag Drive , Elyria OH 44035-1494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. King, Marie Grace can be contacted via phone (440) 930-6042.

Contact Information

Primary practice address
5319 Hoag Drive Elyria OH 44035-1494
Phone: (440) 930-6042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA11303-NA Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN-311442 Ohio

Profile Details

NPI number 1669701926
LBN Legal business name King, Marie Grace
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2009
Last updated Oct 24th, 2016 - about 9 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 1669701926 NPPES
Ohio Other P00880290 RAILROAD MEDICARE
Ohio MEDICAID 3022071 RAILROAD MEDICARE

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