Graversen, Jens Francis

Graversen, Jens Francis is an individual health care provider with primary practice located at 1002 Jefferson St. Suite 450, Laurel MS 39440-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Graversen, Jens Francis can be contacted via phone (601) 428-0438.

Contact Information

Primary practice address
1002 Jefferson St. Suite 450 Laurel MS 39440-4306
Phone: (601) 428-0438
Fax: (601) 425-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD200326 Louisiana
Allopathic & Osteopathic Physicians / Urology 208800000X 17542 Mississippi

Profile Details

NPI number 1932233392
LBN Legal business name Graversen, Jens Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jan 6th, 2020 - about 6 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 1932233392 NPPES
Mississippi MEDICAID 04274856
Mississippi MEDICAID 1598551

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