Graur, Octavia B
Graur, Octavia B is an individual health care provider with primary practice located at 3104 Henry St , Norton Shores MI 49441-4018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Graur, Octavia B can be contacted via phone (231) 728-5758.Contact Information
Primary practice address
3104 Henry St
Norton Shores MI 49441-4018
Phone: (231) 728-5758
Fax: (231) 728-5636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301081261 | Michigan |
Profile Details
| NPI number | 1033200720 |
|---|---|
| LBN Legal business name | Graur, Octavia B |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 14th, 2021 - about 3 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 | 1033200720 | NPPES |
| Michigan | MEDICAID | 2099460 | |
| Michigan | MEDICAID | 4506402 |
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