Tidwell, Grace
Tidwell, Grace is an individual health care provider with primary practice located at 155 15Th St Ste A , West Sacramento CA 95691-3737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tidwell, Grace can be contacted via phone (916) 454-2345.Contact Information
Primary practice address
155 15Th St Ste A
West Sacramento CA 95691-3737
Phone: (916) 454-2345
Fax: (916) 457-2667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 160389 | California |
Profile Details
| NPI number | 1437579786 |
|---|---|
| LBN Legal business name | Tidwell, Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2014 |
| Last updated | Dec 2nd, 2021 - 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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