Grace, Paul R.
Grace, Paul R. is an individual health care provider with primary practice located at 403 Bethel Rd. , Somers Point NJ 08244. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Grace, Paul R. can be contacted via phone (609) 927-8746.Contact Information
Primary practice address
403 Bethel Rd.
Somers Point NJ 08244
Phone: (609) 927-8746
Fax: (609) 653-8807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C5-0000142 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | C5-0000142 | Delaware |
Profile Details
| NPI number | 1376774992 |
|---|---|
| LBN Legal business name | Grace, Paul R. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2009 |
| Last updated | Jul 30th, 2009 - about 17 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 | 1376774992 | NPPES |
| Other | 02108 | RX PA |
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