Graves, Jay Allan
Graves, Jay Allan is an individual health care provider with primary practice located at 19 Halls Rd , Old Lyme CT 06371-1457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graves, Jay Allan can be contacted via phone (860) 434-8300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 020499 | Connecticut |
Profile Details
| NPI number | 1083771745 |
|---|---|
| LBN Legal business name | Graves, Jay Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Nov 16th, 2009 - about 15 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 | 1083771745 | NPPES |
| Connecticut | MEDICAID | 001204999 |
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