Graves, Robert L

Graves, Robert L is an sole proprietor health care provider with primary practice located at 1150 Reservoir Ave Suite 304, Cranston RI 02920-6068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Graves, Robert L can be contacted via phone (401) 942-3330.

Contact Information

Primary practice address
1150 Reservoir Ave Suite 304 Cranston RI 02920-6068
Phone: (401) 942-3330
Fax: (401) 942-3833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2148 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2148 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO00688 Rhode Island
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO00688 Rhode Island

Profile Details

NPI number 1053441477
LBN Legal business name Graves, Robert L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Aug 6th, 2012 - about 12 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 1053441477 NPPES
Maine MEDICAID 102170206
Maine MEDICAID 242694024
Maine MEDICAID RG86689

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