Graves, Misha

Graves, Misha is an individual health care provider with primary practice located at 482 S Landmark Ave , Bloomington IN 47403-5000. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Graves, Misha can be contacted via phone (812) 333-8474.

Contact Information

Primary practice address
482 S Landmark Ave Bloomington IN 47403-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1902414006
LBN Legal business name Graves, Misha
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2020
Last updated Jul 15th, 2020 - about 5 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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