National Provider Identifier Database

BRIAN E GRACE, PA – NPI #1487746459
Surgical


Contact Information

BRIAN E GRACE, PA
5188 BLISSFUL VALLEY CIR
LAS VEGAS, NV89149-5262
Phone: 702-373-9929
Fax: 800-886-2862
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for BRIAN E GRACE

NPI Number 1487746459
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/28/2006
Last updated 12/11/2018 - About 7 years ago
Sole proprietor1 No
Identifiers
  • NV License #: PA727
  • NV Medicaid: 002402144
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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