Nabhane, Gracia Louis

Nabhane, Gracia Louis is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Nabhane, Gracia Louis can be contacted via phone (573) 634-2620.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 634-2620
Fax: (573) 634-2033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 111467 Missouri
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 111467 Missouri

Profile Details

NPI number 1184610917
LBN Legal business name Nabhane, Gracia Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 11th, 2016 - about 10 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 1184610917 NPPES
Missouri MEDICAID 204000707
Missouri Other 290011732

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