Gravois, Wayne David
Gravois, Wayne David is an individual health care provider with primary practice located at 3401 North Blvd Ste 200 , Baton Rouge LA 70806-3743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gravois, Wayne David can be contacted via phone (225) 381-6620.Contact Information
Primary practice address
3401 North Blvd Ste 200
Baton Rouge LA 70806-3743
Phone: (225) 381-6620
Fax: (225) 819-1179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 016200 | Louisiana |
Profile Details
| NPI number | 1902806185 |
|---|---|
| LBN Legal business name | Gravois, Wayne David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902806185 | NPPES |
| Louisiana | MEDICAID | 1338915 |
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