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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRIAN E GRACE, PA
840 S RANCHO DR
#4410
LAS VEGAS, NV89106-3837
 Phone: 702-313-8446
 Fax: 703-384-8446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN E GRACE · (Male)

NPI Number 1487746459
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/28/2006
Last updated 01/14/2013 - About 4 years ago
Sole proprietor 1 No
Identifiers
NV License # PA727
NV Medicaid 002402144
NV Medicare (Unspecified) V37842
NV Medicare UPIN P70232
NV Other 731645266 TIN #
Hospital affiliation(s) 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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