Graveley, Michael J

Graveley, Michael J is an individual health care provider with primary practice located at 500 York Rd Ste 108 , Jenkintown PA 19046-2852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Graveley, Michael J can be contacted via phone (215) 481-2725.

Contact Information

Primary practice address
500 York Rd Ste 108 Jenkintown PA 19046-2852
Phone: (215) 481-2725
Fax: (215) 481-3013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-421514 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD-421514 Pennsylvania

Profile Details

NPI number 1558351668
LBN Legal business name Graveley, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Mar 10th, 2018 - about 7 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 1558351668 NPPES
Pennsylvania MEDICAID 101350285-0001

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