Grace Naturale Llc

LBN: Grace Naturale Llc
Grace Naturale Llc is an health care organization with primary practice located at 6573 N Deer Ridge Ct , Owasso OK 74055-4103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Grace Naturale Llc can be contacted via phone (618) 781-8686, or through Mason, Nicole via phone (618) 781-8686.

Contact Information

Primary practice address
6573 N Deer Ridge Ct Owasso OK 74055-4103
Phone: (618) 781-8686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mason, Nicole Physician's Assistant Certified (PA-C)
Phone: (618) 781-8686

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1942023395
LBN Legal business name Grace Naturale Llc
DBA Doing business as
Authorized official Mason, Nicole Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2024
Last updated Nov 4th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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