Addison-Graham, Priscilla

Addison-Graham, Priscilla is an sole proprietor health care provider with primary practice located at 12823 Hunterbrook Dr , Woodbridge VA 22192-6596. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Addison-Graham, Priscilla can be contacted via phone (240) 441-2978.

Contact Information

Primary practice address
12823 Hunterbrook Dr Woodbridge VA 22192-6596
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 9000 Virginia

Profile Details

NPI number 1790118164
LBN Legal business name Addison-Graham, Priscilla
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2013
Last updated Aug 20th, 2013 - about 11 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 1790118164 NPPES
Virginia MEDICAID 9000

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