Graves, Theresa A.
Graves, Theresa A. is an individual health care provider with primary practice located at 2 Dudley St Suite 470, Providence RI 02905-3236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Graves, Theresa A. can be contacted via phone (401) 553-8304.Contact Information
Primary practice address
2 Dudley St Suite 470
Providence RI 02905-3236
Phone: (401) 553-8304
Fax: (401) 868-2304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD08747 | Rhode Island |
Profile Details
| NPI number | 1124025663 |
|---|---|
| LBN Legal business name | Graves, Theresa A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jan 29th, 2020 - about 4 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 | 1124025663 | NPPES |
| Rhode Island | MEDICAID | 9020216 |
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