National Provider Identifier Database

GRACE UDO
Customized Equipment


Contact Information

GRACE UDO
11605 EDMONSTON RD
BELTSVILLE, MD20705-1739
Phone: 301-595-3477
Fax: 301-595-3466
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X

* Indicates primary specialty

NPI Profile & details for GRACE UDO

NPI Number 1871672725
Legal business name
LBN
GRACE UDO
Authorized official DAVID UDO - (OWNER/CEO)
Entity Organization
Organization subpart No
Enumeration date 11/03/2006
Last updated 02/13/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 015030400

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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