Graves, Jeanne Ellen
Graves, Jeanne Ellen is an individual health care provider with primary practice located at 2099 W Us Hwy 50 Ste 180, Pueblo CO 81007. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Graves, Jeanne Ellen can be contacted via phone (719) 542-2489.Contact Information
Primary practice address
2099 W Us Hwy 50 Ste 180
Pueblo CO 81007
Phone: (719) 542-2489
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 234 | Colorado |
Profile Details
| NPI number | 1437276631 |
|---|---|
| LBN Legal business name | Graves, Jeanne Ellen |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1437276631 | NPPES |
| Colorado | MEDICAID | 04014437 |
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