Duarte, Grace W
Duarte, Grace W is an individual health care provider with primary practice located at 5454 S Hohman Ave Er Department, Hammond IN 46320-1931. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Duarte, Grace W can be contacted via phone (219) 933-2077.Contact Information
Primary practice address
5454 S Hohman Ave Er Department
Hammond IN 46320-1931
Phone: (219) 933-2077
Fax: (219) 933-2593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02002796 | Indiana |
Profile Details
| NPI number | 1518952043 |
|---|---|
| LBN Legal business name | Duarte, Grace W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jul 19th, 2011 - about 15 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 | 1518952043 | NPPES |
| Indiana | MEDICAID | 200095590 |
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