Graves, Mark

Graves, Mark is an sole proprietor health care provider with primary practice located at 450 Morris Ave Suite 117, Muskegon MI 49440-1104. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Graves, Mark can be contacted via phone (231) 725-8143.

Contact Information

Primary practice address
450 Morris Ave Suite 117 Muskegon MI 49440-1104
Fax: (231) 722-6484
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801033930 Michigan

Profile Details

NPI number 1407898398
LBN Legal business name Graves, Mark
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Dec 7th, 2009 - about 16 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 1407898398 NPPES
Michigan Other 1036857 CIGNA #
Michigan Other P11126253 CIGNA #
Michigan Other 131428 CIGNA #

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