Couch, Grace Wielicki

Couch, Grace Wielicki is an individual health care provider with primary practice located at 325 Broad St , Sumter SC 29150-4167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Couch, Grace Wielicki can be contacted via phone (803) 773-5227.

Contact Information

Primary practice address
325 Broad St Sumter SC 29150-4167
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22307 South Carolina

Profile Details

NPI number 1821565334
LBN Legal business name Couch, Grace Wielicki
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2018
Last updated Nov 1st, 2018 - about 8 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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