Vergara, Gracie D
Vergara, Gracie D is an individual health care provider with primary practice located at 1005 Commercial Ln Suite 220, Suffolk VA 23434-8149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vergara, Gracie D can be contacted via phone (757) 668-2600.Contact Information
Primary practice address
1005 Commercial Ln Suite 220
Suffolk VA 23434-8149
Phone: (757) 668-2600
Fax: (757) 668-2620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101056502 | Virginia |
Profile Details
| NPI number | 1538120290 |
|---|---|
| LBN Legal business name | Vergara, Gracie D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538120290 | NPPES |
| North Carolina | MEDICAID | 891154T |
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