Graves, Paul William
Graves, Paul William is an sole proprietor health care provider with primary practice located at 1300 S 2Nd St , Gallup NM 87301-5813. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Graves, Paul William can be contacted via phone (505) 722-3388.Contact Information
Primary practice address
1300 S 2Nd St
Gallup NM 87301-5813
Phone: (505) 722-3388
Fax: (505) 722-3530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 354 | New Mexico |
Profile Details
| NPI number | 1801917596 |
|---|---|
| LBN Legal business name | Graves, Paul William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1801917596 | NPPES |
| New Mexico | MEDICAID | P0698 |
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