Fernandez, Grace Madarang
Fernandez, Grace Madarang is an sole proprietor health care provider with primary practice located at 153 Parkshore Drive Suite 400, Folsom CA 95630. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fernandez, Grace Madarang can be contacted via phone (916) 292-8657.Contact Information
Primary practice address
153 Parkshore Drive Suite 400
Folsom CA 95630
Phone: (916) 292-8657
Fax: (916) 292-8657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 33183 | California |
Profile Details
| NPI number | 1881078582 |
|---|---|
| LBN Legal business name | Fernandez, Grace Madarang |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2015 |
| Last updated | Jan 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881078582 | NPPES |
| California | MEDICAID | 8556099960 |
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