Graves, Scott Andrew

Graves, Scott Andrew is an individual health care provider with primary practice located at 2337 W Mount Morris Rd , Mount Morris MI 48458-8256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graves, Scott Andrew can be contacted via phone (810) 564-9524.

Contact Information

Primary practice address
2337 W Mount Morris Rd Mount Morris MI 48458-8256
Phone: (810) 564-9524
Fax: (810) 564-9553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301045165 Michigan

Profile Details

NPI number 1023169026
LBN Legal business name Graves, Scott Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 20th, 2007 - about 19 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 1023169026 NPPES
Michigan Other 0802508861 BCBSM
Michigan MEDICAID 4141025 BCBSM

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