Gravgaard, John
Gravgaard, John is an individual health care provider with primary practice located at 655 7Th St 78 Mdg/Sgomf, Robins Afb GA 31098-2227. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gravgaard, John can be contacted via phone (478) 327-7880.Contact Information
Primary practice address
655 7Th St 78 Mdg/Sgomf
Robins Afb GA 31098-2227
Phone: (478) 327-7880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1028021 |
Profile Details
| NPI number | 1578545281 |
|---|---|
| LBN Legal business name | Gravgaard, John |
| Credentials | MPAS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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