Graul, Craig S
Graul, Craig S is an individual health care provider with primary practice located at 104 Manchester Pl , Bristol TN 37620-6632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Graul, Craig S can be contacted via phone (423) 573-1988.Contact Information
Primary practice address
104 Manchester Pl
Bristol TN 37620-6632
Phone: (423) 573-1988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0102201380 | Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0102201380 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO1918 | Tennessee |
Profile Details
| NPI number | 1013942739 |
|---|---|
| LBN Legal business name | Graul, Craig S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 19th, 2011 - about 13 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 | 1013942739 | NPPES |
| Virginia | Other | 004735D11 | TRAILBLAZER PART B MEDICA |
| Virginia | Other | 144500 | TRAILBLAZER PART B MEDICA |
| Virginia | MEDICAID | 1506538 | TRAILBLAZER PART B MEDICA |
| Virginia | MEDICAID | 7100142630 | TRAILBLAZER PART B MEDICA |
| Virginia | Other | 7267547 | TRAILBLAZER PART B MEDICA |
| Virginia | Other | TN 0104 | TRAILBLAZER PART B MEDICA |
| Virginia | MEDICAID | 1013942739 | TRAILBLAZER PART B MEDICA |
| Virginia | Other | 1213334 | TRAILBLAZER PART B MEDICA |
| Virginia | MEDICAID | 010079641 | TRAILBLAZER PART B MEDICA |
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