Udo, Grace

Udo, Grace is an sole proprietor health care provider with primary practice located at 13927 Westview Forest Dr , Bowie MD 20720-4866. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Udo, Grace can be contacted via phone (301) 789-1006.

Contact Information

Primary practice address
13927 Westview Forest Dr Bowie MD 20720-4866
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN961787 District of Columbia

Profile Details

NPI number 1588931653
LBN Legal business name Udo, Grace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2011
Last updated Nov 17th, 2011 - about 13 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 1588931653 NPPES
Other 27-3767580 TAX ID#27-3767580

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