Gravley, Heather Jean

Gravley, Heather Jean is an individual health care provider with primary practice located at 215 2Nd St Se , Minot ND 58701-3924. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gravley, Heather Jean can be contacted via phone (701) 857-4410.

Contact Information

Primary practice address
215 2Nd St Se Minot ND 58701-3924
Phone: (701) 857-4410
Fax: (701) 857-4413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 876 North Dakota

Profile Details

NPI number 1326171950
LBN Legal business name Gravley, Heather Jean
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Mar 4th, 2019 - about 7 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 1326171950 NPPES
North Dakota MEDICAID 54638

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