Gravitt, Lydia
Gravitt, Lydia is an sole proprietor health care provider with primary practice located at 104 S Front Ave , Prestonsburg KY 41653-1614. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Gravitt, Lydia can be contacted via phone (606) 886-8572.Contact Information
Primary practice address
104 S Front Ave
Prestonsburg KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1629773031 |
|---|---|
| LBN Legal business name | Gravitt, Lydia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2023 |
| Last updated | Dec 19th, 2023 - about 3 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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