Anbouba, Grace
Anbouba, Grace is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Anbouba, Grace can be contacted via phone (608) 252-7458.Contact Information
Primary practice address
700 S Park St
Madison WI 53715-1830
Phone: (608) 252-7458
Fax: (608) 258-6772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X |
Profile Details
| NPI number | 1952067910 |
|---|---|
| LBN Legal business name | Anbouba, Grace |
| Credentials | CGC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2021 |
| Last updated | Jan 13th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952067910 | NPPES |
| Wisconsin | MEDICAID | 1952067910 |
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