Graves, Vaughan C
Graves, Vaughan C is an individual health care provider with primary practice located at 601 Walnut St Suite L90, Phila PA 19106-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Graves, Vaughan C can be contacted via phone (215) 238-1622.Contact Information
Primary practice address
601 Walnut St Suite L90
Phila PA 19106-3304
Phone: (215) 238-1622
Fax: (215) 238-1944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD028158E | Pennsylvania |
Profile Details
| NPI number | 1386687002 |
|---|---|
| LBN Legal business name | Graves, Vaughan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Oct 28th, 2013 - about 13 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 | 1386687002 | NPPES |
| Pennsylvania | MEDICAID | 0009410580004 |
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