Gracie, Carolyn Nan
Gracie, Carolyn Nan is an sole proprietor health care provider with primary practice located at 810 College Ave Suite 9, Kentfield CA 94904-2532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gracie, Carolyn Nan can be contacted via phone (415) 459-4311.Contact Information
Primary practice address
810 College Ave Suite 9
Kentfield CA 94904-2532
Phone: (415) 459-4311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A33033 | California |
Profile Details
| NPI number | 1639260862 |
|---|---|
| LBN Legal business name | Gracie, Carolyn Nan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1639260862 | NPPES |
| California | Other | A33033 | LICENSE NUMBER |
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