Shin, Grace S

Shin, Grace S is an individual health care provider with primary practice located at 6028 S Fort Apache Rd Ste 101 , Las Vegas NV 89148-5612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Shin, Grace S can be contacted via phone (702) 896-2020.

Contact Information

Primary practice address
6028 S Fort Apache Rd Ste 101 Las Vegas NV 89148-5612
Phone: (702) 896-2020
Fax: (702) 896-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 7373 Nevada

Profile Details

NPI number 1063501500
LBN Legal business name Shin, Grace S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 21st, 2022 - about 3 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 1063501500 NPPES
Nevada MEDICAID 002019646

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