Mrs. Clara Gracon
Technician/Technologist
2323 Broadview Rd
Cleveland
, Ohio 44109-4177
Mrs. Clara Gracon
Technician/Technologist
2323 Broadview Rd
Cleveland
, Ohio 44109-4177
(216) 789-3961
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Mrs. Clara Gracon
- 1508 Amberley Ave
- Cleveland, OH
- Zip : 44109-3504
- Phone : (216) 789-3961
Second Address
- Mrs. Clara Gracon
- 2323 Broadview Rd
- Cleveland, OH
- Zip : 44109-4177
- Phone : (216) 661-5077
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 09201502 | OH |
National Provider Identifier
| NPI | 1164003463 |
|---|---|
| Provider Name | Mrs. Clara Gracon |
| First Address | Cleveland, OH 44109-3504 |
| Second Address | Cleveland, OH 44109-4177 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2021 |
| Last Update Date | 19/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 15083961 | 15083961 (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.