Englund, Graham Dean

Englund, Graham Dean is an sole proprietor health care provider with primary practice located at 1698 Old Lebanon Rd Suite 2A, Campbellsville KY 42718-9662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Englund, Graham Dean can be contacted via phone (270) 789-0587.

Contact Information

Primary practice address
1698 Old Lebanon Rd Suite 2A Campbellsville KY 42718-9662
Phone: (270) 789-0587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 43043 Kentucky

Profile Details

NPI number 1962528067
LBN Legal business name Englund, Graham Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Dec 4th, 2020 - about 5 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 1962528067 NPPES
Kentucky Other 000000634978 ANTHEM BLUECROSS
Kentucky MEDICAID 7100089320 ANTHEM BLUECROSS

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