Graves, Ricky Neil

Graves, Ricky Neil is an individual health care provider with primary practice located at 950 N State St Ste A , Hemet CA 92543-1485. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Graves, Ricky Neil can be contacted via phone (951) 929-9838.

Contact Information

Primary practice address
950 N State St Ste A Hemet CA 92543-1485
Phone: (951) 929-9838
Fax: (951) 929-9831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1588784102
LBN Legal business name Graves, Ricky Neil
Credentials CAARR
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588784102 NPPES
California MEDICAID 3388A

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