Graves, Emily Serena

Graves, Emily Serena is an individual health care provider with primary practice located at 5700 E Highway 90 , Sierra Vista AZ 85635-9110. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Graves, Emily Serena can be contacted via phone (520) 263-3190.

Contact Information

Primary practice address
5700 E Highway 90 Sierra Vista AZ 85635-9110
Phone: (520) 263-3190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP10058108 Texas

Profile Details

NPI number 1184076242
LBN Legal business name Graves, Emily Serena
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Apr 15th, 2019 - about 6 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 1184076242 NPPES
Texas Other BP10058108 TMB

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