Graves, Tammy O

Graves, Tammy O is an individual health care provider with primary practice located at 601 John St Suite E352, Kalamazoo MI 49007-5341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Graves, Tammy O can be contacted via phone (269) 341-8986.

Contact Information

Primary practice address
601 John St Suite E352 Kalamazoo MI 49007-5341
Fax: (269) 341-6236
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 5101009445 Michigan

Profile Details

NPI number 1215917851
LBN Legal business name Graves, Tammy O
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 27th, 2023 - about last year

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 1215917851 NPPES
Michigan MEDICAID 3041221

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