Gravatt, Barry

Gravatt, Barry is an individual health care provider with primary practice located at 111 North St , Rapid City SD 57701-1163. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gravatt, Barry can be contacted via phone (605) 343-0650.

Contact Information

Primary practice address
111 North St Rapid City SD 57701-1163
Phone: (605) 343-0650
Fax: (605) 343-3692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1174953327
LBN Legal business name Gravatt, Barry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2013
Last updated Nov 24th, 2013 - about 11 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.

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