Grace, Shane A

Grace, Shane A is an individual health care provider with primary practice located at 12855 N 40 Dr Ste 180 , Saint Louis MO 63141-8657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Grace, Shane A can be contacted via phone (314) 878-5599.

Contact Information

Primary practice address
12855 N 40 Dr Ste 180 Saint Louis MO 63141-8657
Phone: (314) 878-5599
Fax: (314) 392-4290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2020038382 Missouri

Profile Details

NPI number 1033527684
LBN Legal business name Grace, Shane A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2014
Last updated May 5th, 2023 - about 3 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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