Mccomsey, Grace A

Mccomsey, Grace A is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Mccomsey, Grace A can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Avenue Cleveland OH 44106
Phone: (216) 844-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35-064769 Ohio
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35064769 Ohio
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 35-064769 Ohio

Profile Details

NPI number 1720004336
LBN Legal business name Mccomsey, Grace A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 6th, 2011 - about 15 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 1720004336 NPPES
Ohio MEDICAID 0130923
Ohio MEDICAID 1018891060001
Ohio Other 90012007

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