Dehoff, Grace Kathleen

Dehoff, Grace Kathleen is an sole proprietor health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurocritical Care, which is considered as her primary health care specialty. Dehoff, Grace Kathleen can be contacted via phone (414) 649-6000.

Contact Information

Primary practice address
2900 W Oklahoma Ave Milwaukee WI 53215-4330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X 81196 Wisconsin

Profile Details

NPI number 1679063408
LBN Legal business name Dehoff, Grace Kathleen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2018
Last updated Oct 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679063408 NPPES
Wisconsin MEDICAID 100245150

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