Gravell, Wayne C

Gravell, Wayne C is an individual health care provider with primary practice located at 2215 Burdett Ave , Troy NY 12180-2466. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gravell, Wayne C can be contacted via phone (518) 271-3311.

Contact Information

Primary practice address
2215 Burdett Ave Troy NY 12180-2466
Phone: (518) 271-3311
Fax: (518) 271-3919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1134109077
LBN Legal business name Gravell, Wayne C
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jun 5th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134109077 NPPES
Other 10051937 CD PHP
Other 421559943 CD PHP
Other 040426007412 CD PHP
Other 00402959002 CD PHP

Popular Providers