Graves, Daniel Leahy

Graves, Daniel Leahy is an sole proprietor health care provider with primary practice located at 17900 Talbot Rd S #101, Renton WA 98055-8212. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Graves, Daniel Leahy can be contacted via phone (425) 235-9614.

Contact Information

Primary practice address
17900 Talbot Rd S #101 Renton WA 98055-8212
Fax: (425) 235-1060
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 17917 Washington

Profile Details

NPI number 1255365839
LBN Legal business name Graves, Daniel Leahy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Oct 4th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255365839 NPPES
Washington MEDICAID 1620509

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