Grace, Brian Edward

Grace, Brian Edward is an individual health care provider with primary practice located at 5188 Blissful Valley Cir , Las Vegas NV 89149-5262. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Grace, Brian Edward can be contacted via phone (702) 373-9929.

Contact Information

Primary practice address
5188 Blissful Valley Cir Las Vegas NV 89149-5262
Phone: (702) 373-9929
Fax: (800) 886-2862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA727 Nevada

Profile Details

NPI number 1487746459
LBN Legal business name Grace, Brian Edward
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Dec 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487746459 NPPES
Nevada MEDICAID 002402144

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