Graves, Levi
Graves, Levi is an individual health care provider with primary practice located at 415 N 3Rd Ave Ste B , Pocatello ID 83201-6306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Graves, Levi can be contacted via phone (208) 646-4165.Contact Information
Primary practice address
415 N 3Rd Ave Ste B
Pocatello ID 83201-6306
Phone: (208) 646-4165
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 77238 | Idaho |
Profile Details
NPI number | 1720863871 |
---|---|
LBN Legal business name | Graves, Levi |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2023 |
Last updated | Aug 28th, 2023 - about last year |
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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