Gravely, Marshall Guilbert
Gravely, Marshall Guilbert is an individual health care provider with primary practice located at 420 N Salisbury St , Lexington NC 27292-3548. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gravely, Marshall Guilbert can be contacted via phone (336) 243-7475.Contact Information
Primary practice address
420 N Salisbury St
Lexington NC 27292-3548
Phone: (336) 243-7475
Fax: (336) 249-6771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C002471 | North Carolina |
Profile Details
| NPI number | 1235247628 |
|---|---|
| LBN Legal business name | Gravely, Marshall Guilbert |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Oct 21st, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235247628 | NPPES |
| North Carolina | Other | 191052 | MEDCOST |
| North Carolina | Other | 2327208 | MEDCOST |
| North Carolina | MEDICAID | 6003651 | MEDCOST |
| North Carolina | Other | 1235247628 | MEDCOST |
| North Carolina | Other | 1235247628 | MEDCOST |
| North Carolina | Other | 1235247628 | MEDCOST |
| North Carolina | Other | 132MR | MEDCOST |
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