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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1558351668 | NPPES |
| Pennsylvania | MEDICAID | 101350285-0001 |
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