Graves, Tonnieo

Graves, Tonnieo is an individual health care provider with primary practice located at 16866 Mendota St , Detroit MI 48221-2829. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Graves, Tonnieo can be contacted via phone (313) 999-9999.

Contact Information

Primary practice address
16866 Mendota St Detroit MI 48221-2829
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1295166916
LBN Legal business name Graves, Tonnieo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2013
Last updated Dec 5th, 2013 - about 11 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 1295166916 NPPES
Michigan Other G612799397633 LICENSE

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