Graversen, Joseph A
Graversen, Joseph A is an individual health care provider with primary practice located at 209 W Lancaster Ave Suite 200, Paoli PA 19301-1749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Graversen, Joseph A can be contacted via phone (610) 525-2515.Contact Information
Primary practice address
209 W Lancaster Ave Suite 200
Paoli PA 19301-1749
Phone: (610) 525-2515
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 256182 | New York |
Allopathic & Osteopathic Physicians / Urology | 208800000X | A117518 | California |
Allopathic & Osteopathic Physicians / Urology | 208800000X | MD445817 | Pennsylvania |
Profile Details
NPI number | 1396935912 |
---|---|
LBN Legal business name | Graversen, Joseph A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 30th, 2007 |
Last updated | Aug 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396935912 | NPPES |
Louisiana | MEDICAID | 1090905 |
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