Graves, Emily Serena
Graves, Emily Serena is an individual health care provider with primary practice located at 5700 E Highway 90 , Sierra Vista AZ 85635-9110. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Graves, Emily Serena can be contacted via phone (520) 263-3190.Contact Information
Primary practice address
5700 E Highway 90
Sierra Vista AZ 85635-9110
Phone: (520) 263-3190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | BP10058108 | Texas |
Profile Details
| NPI number | 1184076242 |
|---|---|
| LBN Legal business name | Graves, Emily Serena |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2016 |
| Last updated | Apr 15th, 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 | 1184076242 | NPPES |
| Texas | Other | BP10058108 | TMB |
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