Graves, Mark
Graves, Mark is an sole proprietor health care provider with primary practice located at 450 Morris Ave Suite 117, Muskegon MI 49440-1104. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Graves, Mark can be contacted via phone (231) 725-8143.Contact Information
Primary practice address
450 Morris Ave Suite 117
Muskegon MI 49440-1104
Phone: (231) 725-8143
Fax: (231) 722-6484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801033930 | Michigan |
Profile Details
| NPI number | 1407898398 |
|---|---|
| LBN Legal business name | Graves, Mark |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Dec 7th, 2009 - about 16 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 | 1407898398 | NPPES |
| Michigan | Other | 1036857 | CIGNA # |
| Michigan | Other | P11126253 | CIGNA # |
| Michigan | Other | 131428 | CIGNA # |
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