Gravely, Lewis William
Gravely, Lewis William is an sole proprietor health care provider with primary practice located at 413 Carriage Drive , Beckley WV 25801-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gravely, Lewis William can be contacted via phone (304) 253-1210.Contact Information
Primary practice address
413 Carriage Drive
Beckley WV 25801-2805
Phone: (304) 253-1210
Fax: (304) 255-4040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 11494 | West Virginia |
Profile Details
| NPI number | 1629030168 |
|---|---|
| LBN Legal business name | Gravely, Lewis William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Apr 10th, 2008 - about 16 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 | 1629030168 | NPPES |
| West Virginia | MEDICAID | 0095205000 |
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