Graves, Ernie L

Graves, Ernie L is an individual health care provider with primary practice located at 213 River Walk Pky Ste 101, Chesapeake VA 23320. 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. Graves, Ernie L can be contacted via phone (757) 548-1400.

Contact Information

Primary practice address
213 River Walk Pky Ste 101 Chesapeake VA 23320
Phone: (757) 548-1400
Fax: (757) 548-2312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840536 Virginia

Profile Details

NPI number 1013982909
LBN Legal business name Graves, Ernie L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Aug 4th, 2014 - about 10 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 1013982909 NPPES
Virginia MEDICAID 008944962

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